Individual provider Active NPI

Fabiano Goncalves Nery, M.D., PHD

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1144663121
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35 130447 Issued in OH
Practice address
260 Stetson St
Suite 3200
Cincinnati, OH 45267-0559
Phone
(513) 558-5100
Fax
(513) 558-3477
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 35 130447 OH Primary

Addresses

Primary practice location

260 Stetson St
Suite 3200
Cincinnati, OH 45267-0559

Mailing address

260 Stetson St
Suite 3200
Cincinnati, OH 45267-0559
Phone (513) 558-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170623001873 OH Practitioner - Psychiatry 9739316662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Cincinnati Behavioral Health ServicesGroup PAC ID 3870498355, 38 clinicians
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-7000

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 130447OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Behavioral Health Services Current Accepting new patients
University of Cincinnati Physicians Company, LLC Psychiatry CurrentSince Jul 1, 2017 Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince May 31, 2024 Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince May 31, 2024 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients
Greater Cincinnati Behavioral Health Services Past Accepting new patients

Locations

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

260 Stetson St
Ste 3200
Cincinnati, OH 45219
Phone (513) 475-8710

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

2751 Ovarsity Way
Cincinnati, OH 45221
Phone (513) 556-2564

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

3120 Burnet Ave
Cincinnati, OH 45229
Phone (513) 584-8600

3120 Burnet Ave
Ste 304
Cincinnati, OH 45229
Phone (513) 585-6663

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Interoperability endpoints

  • Direct secure messaging: fnery55459@direct.uchealth.com

Organizations & group practices 6

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 2

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1144663121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STETSON ST",
            "address_2": "SUITE 3200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670559",
            "telephone_number": "513-558-5100",
            "fax_number": "513-558-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STETSON ST",
            "address_2": "SUITE 3200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670559",
            "telephone_number": "513-558-5100",
            "fax_number": "513-558-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERY",
        "first_name": "FABIANO",
        "middle_name": "GONCALVES",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35 130447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.