Individual provider Active NPI

Michael D. Kreines, M.D.

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1194714907
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35058065 Issued in OH
Practice address
2925 Vernon PL
Suite100
Cincinnati, OH 45219-2425
Phone
(513) 751-6667
Fax
(513) 872-4553
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35058065 OH Primary

Addresses

Primary practice location

2925 Vernon PL
Suite100
Cincinnati, OH 45219-2425

Mailing address

2925 Vernon PL
Suite100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Other identifiers 1

IdentifierTypeStateIssuer
0735575MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000739 OH Practitioner - Gastroenterology 1759365711 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058065OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. Gastroenterology CurrentSince Mar 26, 1997 Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

Organizations & group practices 1

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1194714907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "SUITE100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "SUITE100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREINES",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35058065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.