Individual provider Active NPI

Kimberly Russell, MD

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1225227648
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-096786 Issued in OH
Practice address
7545 Beechmont Ave Ste B
Cincinnati, OH 45255
Phone
(513) 564-1600
Fax
(513) 564-4001
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 57013212 OH
Obstetrics & Gynecology Physician 207V00000X 35-096786 OH Primary

Addresses

Primary practice location

7545 Beechmont Ave Ste B
Cincinnati, OH 45255

Mailing address

237 William Howard Taft Rd FL 2
Cincinnati, OH 45219-2610
Phone (513) 263-8551

Other identifiers 1

IdentifierTypeStateIssuer
0050443MedicaidOH

Other names 1

  • Kimberly Nadaud Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krussell3275@direct.thechristhospital.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110922000501 OH Practitioner - Obstetrics/Gynecology 6507037553 Reassigns benefits to 1 organization
I20131101001622 KY Practitioner - Obstetrics/Gynecology 6507037553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 421-5558

2123 Auburn Ave
Cincinnati, OH 45219-2906

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2323

2139 Auburn Ave
Cincinnati, OH 45219-2989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-096786OHMDObstetrics & Gynecology Physician
57013212OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC Obstetrics & Gynecology CurrentSince Sep 1, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Christ Hospital Past Accepting new patients

Locations

6900 Houston Rd
Bldg 600
Florence, KY 41042

1955 Dixie Hwy
Ft Wright, KY 41011
Phone (513) 721-7373

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

237 William Howard Taft Rd
#002
Cincinnati, OH 45219
Phone (513) 263-8571

237 William Howard Taft Rd
#2
Cincinnati, OH 45219
Phone (513) 263-9157

7545 Beechmont Ave
Ste B
Cincinnati, OH 45255
Phone (513) 564-1600

2123 Auburn Ave
Ste 624
Cincinnati, OH 45219
Phone (513) 564-1600

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.

Hospital & facility affiliations 1

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1225227648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD FL 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-263-8551",
            "fax_number": "513-366-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BEECHMONT AVE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-564-1600",
            "fax_number": "513-564-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "57013212",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-096786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050443",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krussell3275@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7545 Beechmont Ave Ste B",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NADAUD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.