Individual provider Active NPI

David F Drake, M.D.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
National Provider Identifier
1184601080
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35031757 Issued in OH
Practice address
8000 5 Mile Rd
Suite 310
Cincinnati, OH 45230-2163
Phone
(513) 232-0120
Fax
(513) 232-8483
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35031757 OH Primary

Addresses

Primary practice location

8000 5 Mile Rd
Suite 310
Cincinnati, OH 45230-2163

Mailing address

4380 Malsbary Rd
Suite 200
Cincinnati, OH 45242-5644
Phone (513) 366-4488

Other identifiers 8

IdentifierTypeStateIssuer
0262540MedicaidOH
0641478OtherAETNA
283794OtherOHAMERIGROUP MEDICAID OH
31757-06OtherHUMANA
64866254MedicaidKY
25-20413OtherUNITED
311438871060OtherOHCARESOURCE MEDICAID OH
000000215208OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35031757OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Heart and Vascular Center, Inc Cardiovascular Disease Past Accepting new patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease Past Accepting new patients
Ohvc Associates, LLC Cardiovascular Disease PastSince Oct 18, 2004 Accepting new patients

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1184601080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 MALSBARY RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425644",
            "telephone_number": "513-366-4488",
            "fax_number": "513-366-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 5 MILE RD",
            "address_2": "SUITE 310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302163",
            "telephone_number": "513-232-0120",
            "fax_number": "513-232-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "DAVID",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35031757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262540",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0641478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP MEDICAID OH",
            "identifier": "283794",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "31757-06",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64866254",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "25-20413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE MEDICAID OH",
            "identifier": "311438871060",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000215208",
            "state": "OH"
        }
    ],
    "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 Dec 12, 2007; 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.