NPIMap

Individual provider Active NPI

James I Fidelholtz, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1245449438
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35.034849 Issued in OH
Practice address
6103 Hamilton Ave
Cincinnati, OH 45224-2585
Phone
(513) 681-6667
Fax
(513) 681-0252
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35.034849 OH Primary

Addresses

Primary practice location

6103 Hamilton Ave
Cincinnati, OH 45224-2585

Mailing address

6103 Hamilton Ave
Cincinnati, OH 45224-2585
Phone (513) 681-6667

Other identifiers 1

IdentifierTypeStateIssuer
0373117MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001166 OH Practitioner - Internal Medicine 0648250696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6103 Hamilton Ave
Cincinnati, OH 45224-2512
Phone (513) 681-6667

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.034849OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltop Physicians Inc Geriatric Medicine CurrentSince Aug 4, 1997 Accepting new patients

Locations

6103 Hamilton Ave
Cincinnati, OH 45224
Phone (513) 681-6667

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.

Hospital & facility affiliations 10

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1245449438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452242585",
            "telephone_number": "513-681-6667",
            "fax_number": "513-681-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452242585",
            "telephone_number": "513-681-6667",
            "fax_number": "513-681-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDELHOLTZ",
        "first_name": "JAMES",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.034849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0373117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.