Individual provider Active NPI

Geoffrey Alan Pornoy, M.D.

  • Internal Medicine Physician
  • Highland Heights, KY
National Provider Identifier
1235108317
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35426 Issued in KY
Practice address
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone
(859) 757-0434
Fax
(859) 441-0906
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35426 KY
Emergency Medicine Physician 207P00000X 01041308A IN
Emergency Medicine Physician 207P00000X 35.062762 OH
Internal Medicine Physician 207R00000X 35426 KY Primary

Addresses

Primary practice location

2626 Alexandria Pike
Highland Heights, KY 41076-1530

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555

Other identifiers 1

IdentifierTypeStateIssuer
0188345MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040907001264 KY Practitioner - Internal MedicinePractitioner - Emergency Medicine 1759275886 Reassigns benefits to 2 organizations
I20050728000310 IN Practitioner - Emergency MedicinePractitioner - Internal Medicine 1759275886 Reassigns benefits to 4 organizations
I20180117000099 OH Practitioner - Emergency Medicine 1759275886 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.062762OHMDEmergency Medicine Physician
35426KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Nov 15, 2020 Accepting new patients
Margaret Mary Community Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Indiana Emergency Professionals PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Group, Inc Internal Medicine CurrentSince Apr 6, 2021 Accepting new patients
Margaret Mary Community Hospital, Inc Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Group, Inc. CurrentSince Apr 6, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 16, 2014 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Trihealth Physician Institute Internal Medicine Past Accepting new patients
John Balko and Associates Inc PastSince Jan 1, 2000 Accepting new patients
JMHC Inc Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients
Preferred Emergency Specialists, Inc. Emergency Medicine Past Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine Past Accepting new patients
Highland Hospitalist Services Medical Group Internal Medicine Past Accepting new patients
Preferred Emergency Specialists, LLC Emergency Medicine Past Accepting new patients
Deaconess Healthcare Services Co Internal Medicine Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1235108317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 ALEXANDRIA PIKE",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761530",
            "telephone_number": "859-757-0434",
            "fax_number": "859-441-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORNOY",
        "first_name": "GEOFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "35426",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01041308A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.062762",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188345",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, KY

Sources for this page

Verify at the official NPI Registry.