Individual provider Active NPI

Mary Theresa Cardone, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1235185588
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35058937 Issued in OH
Practice address
6045 Bridgetown Rd
Cincinnati, OH 45248-5127
Phone
(513) 981-4105
Fax
(513) 347-4620
NPI assigned
May 26, 2006
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 35058937 OH Primary

Addresses

Primary practice location

6045 Bridgetown Rd
Cincinnati, OH 45248-5127

Mailing address

6045 Bridgetown Rd
Cincinnati, OH 45248-5127
Phone (513) 981-4105

Other identifiers 1

IdentifierTypeStateIssuer
0823970MedicaidOH

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
I20060531000269 OH Practitioner - Internal Medicine 0648281881 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058937OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Internal Medicine CurrentSince Nov 7, 2007 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

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

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

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

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

6045 Bridgetown Rd
Cincinnati, OH 45248
Phone (513) 451-2200

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

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1235185588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485127",
            "telephone_number": "513-981-4105",
            "fax_number": "513-347-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485127",
            "telephone_number": "513-981-4105",
            "fax_number": "513-347-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONE",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0823970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.