Active NPI
Charles Joseph Prestigiacomo, M.D.
- Neurological Surgery Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35.134660
- Practice address
- 3113 Bellevue Ave
Cincinnati, OH 45219 - Phone
- (513) 475-8990
- Fax
- (513) 475-8577
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35.134660 | OH | Primary |
| Neurological Surgery Physician | 207T00000X | 25MA07461000 | NJ |
Addresses
Primary practice location
3113 Bellevue Ave
Cincinnati, OH 45219
Mailing address
PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-5505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8921903 | Medicaid | NJ |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Columbia University College of Physicians and Surgeons, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-7855
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- West Chester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07461000 | NJ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Current | Accepting new patients | |
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients |
Locations
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
3113 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 475-8033
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400
Interoperability endpoints
- cprestigiacomo212782@direct.uchealth.com
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1174658272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 BELLEVUE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-475-8990",
"fax_number": "513-475-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTIGIACOMO",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35.134660",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "25MA07461000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8921903",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.