Individual provider Active NPI

Mary Mahoney, MD

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1245285204
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-05-4612 Issued in OH
Practice address
234 Goodman St
ML 0772
Cincinnati, OH 45267-1000
Phone
(513) 584-5335
Fax
(584) 584-3663
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-05-4612 OH Primary

Addresses

Primary practice location

234 Goodman St
ML 0772
Cincinnati, OH 45267-1000

Mailing address

3200 Burnet Ave
Cincinnati, OH 45229-3019
Phone (513) 585-5501

Other identifiers 6

IdentifierTypeStateIssuer
1621098OtherOHUHC
000000013495OtherOHANTHEM
200129330AMedicaidIL
0701226MedicaidOH
645406OtherOHAETNA
64860372MedicaidKY

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
I20050225000835 OH Practitioner - Diagnostic Radiology 7012960370 Reassigns benefits to 1 organization
I20150429001458 KY Practitioner - Diagnostic Radiology 7012960370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Dec 1, 2011 Accepting new patients

Locations

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

68 Cavalier Blvd
Florence, KY 41042
Phone (513) 475-7630

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3199 Highland Ave
#772
Cincinnati, OH 45219
Phone (513) 584-5335

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

70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000

222 Piedmont Ave
Ste 2100
Cincinnati, OH 45219
Phone (513) 475-8755

Interoperability endpoints

  • Direct secure messaging: mmahoney28291@direct.uchealth.com

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1245285204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293019",
            "telephone_number": "513-585-5501",
            "fax_number": "513-584-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "address_2": "ML 0772",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452671000",
            "telephone_number": "513-584-5335",
            "fax_number": "584-584-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-05-4612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1621098",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000013495",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200129330A",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701226",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "645406",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64860372",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.