Individual provider Active NPI

Shree Lata Radhakrishnan, M.D.

  • Cardiovascular Disease Physician
  • Mason, OH
National Provider Identifier
1245643808
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.142755 Issued in OH
Practice address
7450 S Mason Montgomery Rd Unit 200
Mason, OH 45040-8080
Phone
(513) 585-2410
Fax
(513) 792-7807
NPI assigned
Jun 11, 2014
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014016519 MO
Internal Medicine Physician 207R00000X 270227 MA
Cardiovascular Disease Physician 207RC0000X 35.142755 OH Primary

Addresses

Primary practice location

7450 S Mason Montgomery Rd Unit 200
Mason, OH 45040-8080

Mailing address

7450 S Mason Montgomery Rd Unit 200
Mason, OH 45040-8080
Phone (513) 585-2410

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
I20240925002434 OH Practitioner - Cardiovascular Disease (Cardiology) 8628296316 Reassigns benefits to 1 organization
I20241107001170 KY Practitioner - Cardiovascular Disease (Cardiology) 8628296316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 792-7800

1955 Dixie Hwy
Suite E
Ft Wright, KY 41011-2882
Phone (859) 292-4560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014016519MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease CurrentSince Sep 1, 2024 Accepting new patients
The Christ Hospital Medical Associates, LLC Internal Medicine PastSince Sep 19, 2024 Accepting new patients
Christ Hospital Cardiology Assoc Cardiovascular Disease Past Accepting new patients
Christ Hospital Past Accepting new patients

Locations

1955 Dixie Hwy
Ste E
Ft Wright, KY 41011
Phone (859) 292-4560

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2139 Auburn Ave
#49
Cincinnati, OH 45219

7450 S Mason Montgomery Rd
Unit 200
Mason, OH 45040
Phone (513) 204-5785

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

Organizations & group practices 4

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.

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1245643808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 S MASON MONTGOMERY RD UNIT 200",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408080",
            "telephone_number": "513-585-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 S MASON MONTGOMERY RD UNIT 200",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408080",
            "telephone_number": "513-585-2410",
            "fax_number": "513-792-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "SHREE LATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014016519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "270227",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.142755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.