Individual provider Active NPI

Vishal Dhiroo Jivan, M.D.

  • Pulmonary Disease Physician
  • Cincinnati, OH
National Provider Identifier
1154563278
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.099731 Issued in OH
Practice address
2123 Auburn Ave
Suite 401
Cincinnati, OH 45219-2906
Phone
(513) 241-5489
Fax
(513) 241-5490
NPI assigned
Apr 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.099731 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.099731 OH
Pulmonary Disease Physician 207RP1001X 35.099731 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Suite 401
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
Suite 401
Cincinnati, OH 45219-2906
Phone (513) 241-5489

Other identifiers 3

IdentifierTypeStateIssuer
201162960AMedicaidIN
7100132560MedicaidKY
0104068MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vjivan61259@direct.thechristhospital.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130110000578 OH Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5890948335 Reassigns benefits to 1 organization
I20170922001009 IN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5890948335 Reassigns benefits to 1 organization
I20230103001356 KY Practitioner - Pulmonary Disease 5890948335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

1033 State Rd
Suite 229
Batesville, IN 47006-6808
Phone (513) 648-8980

1955 Dixie Hwy
Suite N
Ft Wright, KY 41011-2792
Phone (513) 241-5489

2123 Auburn Ave
Cincinnati, OH 45219-2906

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

7545 Beechmont Ave
Suite N
Cincinnati, OH 45255-4231
Phone (513) 232-0011

7545 Beechmont Ave K
Cincinnati, OH 45255-4231
Phone (513) 564-4277

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.099731OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital, Inc Internal Medicine Current Accepting new patients
The Christ Hospital Medical Associates, LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Christ Hospital Medical Associates II, LLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Christ Hospital Past Accepting new patients
Cardiovascular & Thoracic Surgeons, Inc. Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

1051 State Road 229
Batesville, IN 47006
Phone (812) 933-5110

1033 State Road 229
Batesville, IN 47006
Phone (513) 215-9200

1955 Dixie Hwy
Ste N
Ft Wright, KY 41011
Phone (513) 241-5489

2156 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 282-6700

2123 Auburn Ave
#401
Cincinnati, OH 45219
Phone (513) 241-5489

7545 Beechmont Ave
Ste G
Cincinnati, OH 45255
Phone (513) 241-5489

2123 Auburn Ave
Ste 401
Cincinnati, OH 45219
Phone (513) 241-5489

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

237 Wm Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 351-9900

2139 Auburn Ave
#47
Cincinnati, OH 45219

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6293/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vishal.jivan@mmhealth.cernerdirect.com

Organizations & group practices 5

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 10

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1154563278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 401",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5489",
            "fax_number": "513-241-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 401",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5489",
            "fax_number": "513-241-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVAN",
        "first_name": "VISHAL",
        "middle_name": "DHIROO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.099731",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.099731",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.099731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201162960A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100132560",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104068",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vjivan61259@direct.thechristhospital.com",
            "affiliation": "N",
            "address_1": "2123 Auburn Ave",
            "address_2": "Suite 401",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.