Individual provider Active NPI

Eben De Matteo, PA-C

  • Physician Assistant
  • Blue Ash, OH
National Provider Identifier
1215456827
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005207RX Issued in OH
Practice address
9250 Blue Ash Rd
Blue Ash, OH 45242-6822
Phone
(513) 792-7445
Fax
(513) 791-4042
NPI assigned
Sep 14, 2017
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005207RX OH Primary

Addresses

Primary practice location

9250 Blue Ash Rd
Blue Ash, OH 45242-6822

Mailing address

9250 Blue Ash Rd
Blue Ash, OH 45242-6822
Phone (513) 792-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170929002476 OH Practitioner - Physician Assistant 2466727540 Reassigns benefits to 1 organization
I20190409003556 KY Practitioner - Physician Assistant 2466727540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Orthopedic Associates LLCGroup PAC ID 1456477355, 30 clinicians

Practice addresses (Care Compare)

9250 Blue Ash Rd
Blue Ash, OH 45242-6822
Phone (513) 792-7554

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005207RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Physician Assistant CurrentSince Nov 1, 2018 Accepting new patients
Christ Hospital Orthopedic Associates LLC Physician Assistant CurrentSince Apr 12, 2026 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Nov 1, 2018 Accepting new patients
Bobcat Emergency Physicians LLC Physician Assistant Past Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC PastSince Jul 22, 2025 Accepting new patients

Locations

3955 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 431-4430

328 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-9700

4701 Creek Rd
Ste 110
Blue Ash, OH 45242
Phone (513) 733-8894

9250 Blue Ash Rd
Blue Ash, OH 45242
Phone (513) 792-7554

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

4440 Glen Este Withamsville Rd
Ste 500
Cincinnati, OH 45245
Phone (513) 753-7488

4700 E Galbraith Rd
Ste 300A
Cincinnati, OH 45236
Phone (513) 924-1370

3050 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-4722

5372 Dixie Hwy
Fairfield, OH 45014
Phone (513) 874-8111

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

5236 Socialville Foster Rd
Mason, OH 45040
Phone (513) 721-1111

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: edematteo513245@direct.bsmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1215456827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BLUE ASH RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426822",
            "telephone_number": "513-792-7445",
            "fax_number": "513-791-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BLUE ASH RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426822",
            "telephone_number": "513-792-7445",
            "fax_number": "513-791-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MATTEO",
        "first_name": "EBEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005207RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.