Individual provider Active NPI

Timothy Brennan, M.D.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
National Provider Identifier
1174579510
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.086761 Issued in OH
Practice address
3301 Mercy Health Blvd Ste 125
Cincinnati, OH 45211-1106
Phone
(513) 215-9200
Fax
(513) 215-9259
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.086761 OH Primary
Interventional Cardiology Physician 207RI0011X 35086761 OH

Addresses

Primary practice location

3301 Mercy Health Blvd Ste 125
Cincinnati, OH 45211-1106

Mailing address

3301 Mercy Health Blvd Ste 125
Cincinnati, OH 45211-1106
Phone (513) 215-9200

Other identifiers 1

IdentifierTypeStateIssuer
2607852MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051115001213 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608895966 Reassigns benefits to 1 organization
I20120103000271 IN Practitioner - Vascular SurgeryPractitioner - Cardiovascular Disease (Cardiology) 6608895966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

5525 Marie Ave
Cincinnati, OH 45248-3200
Phone (513) 961-4335

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting33
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.086761OHMDCardiovascular Disease Physician
35086761OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Henry County Memorial Hospital CurrentSince Jan 8, 2012 Accepting new patients
St Elizabeth Medical Center, Inc Cardiovascular Disease CurrentSince Jan 8, 2012 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients

Locations

360 Walnut St
Lawrenceburg, IN 47025
Phone (812) 537-4662

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

3301 Mercy Health Blvd
Ste 125
Cincinnati, OH 45211
Phone (513) 215-9200

5525 Marie Ave
Cincinnati, OH 45248
Phone (513) 598-1300

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: tbrennan34306@direct.bsmhealth.org

Organizations & group practices 4

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 5

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1174579510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD STE 125",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111106",
            "telephone_number": "513-215-9200",
            "fax_number": "513-215-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD STE 125",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111106",
            "telephone_number": "513-215-9200",
            "fax_number": "513-215-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.086761",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35086761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2607852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.