Modern Internal Medicine of Cincinnati, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35069624G Issued in OH

Legal business name

MODERN INTERNAL MEDICINE OF CINCINNATI, INC

Practice address

4871 Prosperity PL
Cincinnati, OH 45238-4027

Phone

(513) 251-9900

Fax

(513) 244-3999

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Lev Gelman, MD

Title

Owner

Phone

(513) 251-9900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174588388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 PROSPERITY PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384027",
            "telephone_number": "513-251-9900",
            "fax_number": "513-244-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 PROSPERITY PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384027",
            "telephone_number": "513-251-9900",
            "fax_number": "513-244-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN INTERNAL MEDICINE OF CINCINNATI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-251-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069624G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Carol Mock
• Brandon Modafari, PT
• Jason Modafari, PT
• Mode Behavioral Therapy, LLC
• Modern Behavioral Health Solutions, LLC
• Avani Modi, PHD
• Jwalant Rasiklal Modi, M.B.B.S.
• Preeya Modi, MD
• Corinne Mary Modzelewski, MSW, LSW
• Molly Suzanne Moehlman, MD

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.