Individual provider Active NPI

Mary Theresa Zupan

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1154833929
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1601163 Issued in OH
Practice address
7810 5 Mile Rd
Cincinnati, OH 45230-2356
Phone
(513) 246-7000
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1601163 OH Primary

Addresses

Primary practice location

7810 5 Mile Rd
Cincinnati, OH 45230-2356

Mailing address

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-5200

Other practice location 1

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-5200

Other identifiers 1

IdentifierTypeStateIssuer
S.1601163OtherOHLICENSURE BOARD

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104002716 OH Practitioner - Clinical Social Worker 4486043882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
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)

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

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

State licenses

LicenseStateTypeSpecialty
S.1601163OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Social Worker CurrentSince Dec 16, 2024 Accepting new patients
Trihealth H LLC CurrentSince Jul 5, 2022 Accepting new patients
Greater Cincinnati Behavioral Health Services Past Accepting new patients

Locations

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

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

7810 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 232-1253

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

1171 State Route 28
Milford, OH 45150
Phone (513) 831-4811

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.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1154833929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302356",
            "telephone_number": "513-246-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Walnut Hills",
            "state": "OH",
            "postal_code": "452061706",
            "country_code": "US",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUPAN",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1601163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE BOARD",
            "identifier": "S.1601163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.