NPIMap

Individual provider Active NPI

Elias Fares, MD

  • Infectious Disease Physician
  • Montgomery, OH
National Provider Identifier
1134476500
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35.146972 Issued in OH
Practice address
10506A Montgomery Rd
Montgomery, OH 45242-4402
Phone
(513) 624-0999
Fax
(513) 624-0934
NPI assigned
Aug 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD459705 PA
Infectious Disease Physician 207RI0200X 35.146972 OH Primary
Infectious Disease Physician 207RI0200X 31185 OK

Addresses

Primary practice location

10506A Montgomery Rd
Montgomery, OH 45242-4402

Mailing address

10506A Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 624-0999

Other practice location 1

2314 Sassafras St Ste 310
Erie, PA 16502-2721
Phone (814) 456-6194

Other practice location 2

3035 Hamilton Mason Rd
Fairfield Township, OH 45011-5544
Phone (513) 624-0999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address efares148776@direct.ahn.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822001181 OH Practitioner - Infectious Disease 6901107630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10506 A Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 853-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31185OKMDInfectious Disease Physician
MD459705PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Aug 28, 2023 Accepting new patients
Saint Vincent Medical Education and Research Institute Infectious Disease PastSince Apr 1, 2020 Accepting new patients
Trihealth G LLC Infectious Disease Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

3035 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 454-3000

10495 Montgomery Rd
Ste 26
Montgomery, OH 45242
Phone (513) 281-6676

10506B Montgomery Rd
Montgomery, OH 45242
Phone (513) 346-5170

Interoperability endpoints

  • Direct secure messaging: efares385903@direct.trihealth.com

Organizations & group practices 3

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 9

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": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1134476500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506A MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424402",
            "telephone_number": "513-624-0999",
            "fax_number": "513-624-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506A MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424402",
            "telephone_number": "513-624-0999",
            "fax_number": "513-624-0934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2314 Sassafras St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165022721",
            "country_code": "US",
            "telephone_number": "814-456-6194",
            "fax_number": "814-452-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 Hamilton Mason Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450115544",
            "country_code": "US",
            "telephone_number": "513-624-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARES",
        "first_name": "ELIAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-05",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD459705",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.146972",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "31185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efares148776@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2314 Sassafras St Ste 310",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.