NPIMap

Individual provider Active NPI

Matthew Gerald Witsken, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1184679516
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35075185W Issued in OH
Practice address
5525 Marie Ave
Cincinnati, OH 45248-3230
Phone
(513) 981-5463
Fax
(513) 598-2242
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35075185W OH Primary

Addresses

Primary practice location

5525 Marie Ave
Cincinnati, OH 45248-3230

Mailing address

5525 Marie Ave
Cincinnati, OH 45248-3230
Phone (513) 981-5463

Other identifiers 1

IdentifierTypeStateIssuer
P00905078OtherOHMEDICARE RR

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
I20060531000122 OH Practitioner - Internal Medicine 0547271751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

5525 Marie Ave
Cincinnati, OH 45248-3200
Phone (513) 981-5463

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Hillebrand Home Health Home health agency, Cincinnati, OH, CCN 368030
  • Care Connection of Cincinnati Home health agency, Cincinnati, OH, CCN 368016
  • Hospice of Cincinnati, Inc Hospice, Cincinnati, OH, CCN 361531
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Hillebrand Nursing and Rehabilitation Center Nursing home, Cincinnati, OH, CCN 365045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075185WOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Internal Medicine CurrentSince Nov 7, 2007 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Feb 1, 2011 Accepting new patients
Mercy Health - West Hospital LLC Past Accepting new patients
Greater Cincinnati Associated Physicians, Inc Internal Medicine Past Accepting new patients

Locations

6350 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-1414

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2859 Boudinot Ave
Ste 107
Cincinnati, OH 45238
Phone (513) 389-3105

672 Neeb Rd
Cincinnati, OH 45233
Phone (513) 451-1996

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

5575 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 385-3113

4631 Ridge Ave
#A
Cincinnati, OH 45209
Phone (513) 631-1268

Interoperability endpoints

  • Direct secure messaging: mwitsken26443@direct.bsmhealth.org

Organizations & group practices 5

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1184679516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 MARIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483230",
            "telephone_number": "513-981-5463",
            "fax_number": "513-598-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MARIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483230",
            "telephone_number": "513-981-5463",
            "fax_number": "513-598-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITSKEN",
        "first_name": "MATTHEW",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35075185W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00905078",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.