Individual provider Active NPI

Katherine Leslie Baquerizo Nole, MD

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1124413133
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35136377 Issued in OH
Practice address
3130 Highland Ave
U Cincinnati Medical Center. Department of Dermatology
Cincinnati, OH 45219-2399
Phone
(513) 584-4644
Fax
(513) 584-1559
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35136377 OH Primary

Addresses

Primary practice location

3130 Highland Ave
U Cincinnati Medical Center. Department of Dermatology
Cincinnati, OH 45219-2399

Mailing address

3130 Highland Ave
U Cincinnati Medical Center. Department of Dermatology
Cincinnati, OH 45219-2399
Phone (513) 584-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191009002577 OH Practitioner - Dermatology 1658665724 Reassigns benefits to 1 organization
I20191210001305 KY Practitioner - Dermatology 1658665724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-7855

68 Cavalier Blvd
Florence, KY 41042-1645
Phone (513) 475-7630

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of tissue1-10
Removal of skin lesions412
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35136377OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

68 Cavalier Blvd
Florence, KY 41042
Phone (513) 475-7630

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3590 Lucille Dr
Cincinnati, OH 45213
Phone (513) 475-7630

151 W Galbraith Rd
Cincinnati, OH 45216
Phone (513) 418-2500

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2830 Victory Pkwy
#806
Cincinnati, OH 45206
Phone (513) 245-3694

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3130 Highland Ave
#U
Cincinnati, OH 45219
Phone (513) 584-4644

5575 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 385-3113

222 Piedmont Ave
Ste 5300
Cincinnati, OH 45219
Phone (513) 475-7630

Interoperability endpoints

  • Direct secure messaging: kbaquerizonole149373@direct.uchealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1124413133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 HIGHLAND AVE",
            "address_2": "U CINCINNATI MEDICAL CENTER. DEPARTMENT OF DERMATOLOGY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192399",
            "telephone_number": "513-584-4644",
            "fax_number": "513-584-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 HIGHLAND AVE",
            "address_2": "U CINCINNATI MEDICAL CENTER. DEPARTMENT OF DERMATOLOGY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192399",
            "telephone_number": "513-584-4644",
            "fax_number": "513-584-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERIZO NOLE",
        "first_name": "KATHERINE",
        "middle_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35136377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.