NPIMap

Individual provider Active NPI

Amanda M Jude, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1174028443
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
34.016017 Issued in OH
Practice address
3248 Westbourne Dr
Cincinnati, OH 45248-5140
Phone
(513) 674-1400
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34.016017 OH Primary

Addresses

Primary practice location

3248 Westbourne Dr
Cincinnati, OH 45248-5140

Mailing address

3248 Westbourne Dr
Cincinnati, OH 45248-5140
Phone (513) 674-1400

Other identifiers 1

IdentifierTypeStateIssuer
11774028443MedicaidOH

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
I20221004000259 OH Practitioner - Family Practice 1951658293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

3260 Westbourne Dr
Cincinnati, OH 45248-5107
Phone (513) 674-1400

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.016017OHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Geriatric Medicine CurrentSince Sep 1, 2022 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients

Locations

3260 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 389-1400

3248 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 389-1400

2123 Auburn Ave
Ste 235
Cincinnati, OH 45219
Phone (513) 585-3238

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

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

Organizations & group practices 2

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1174028443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 WESTBOURNE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485140",
            "telephone_number": "513-674-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 WESTBOURNE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485140",
            "telephone_number": "513-674-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDE",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34.016017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11774028443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.