Active NPI
Steven L Dumbauld, M.D.
- Nephrology Physician
- Cincinnati, OH
National Provider Identifier
1265476071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35-039494
- Practice address
- 3219 Clifton Ave
#325
Cincinnati, OH 45220-3027 - Phone
- (513) 861-0800
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35-039494 | OH | Primary |
| Nephrology Physician | 207RN0300X | 22388 | KY |
Addresses
Primary practice location
3219 Clifton Ave
#325
Cincinnati, OH 45220-3027
Mailing address
3219 Clifton Ave
#325
Cincinnati, OH 45220-3027
Phone (513) 861-0800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200070130 | Medicaid | IN | |
| 990013023 | Other | OH | MEDICARE RAILROAD |
| 64782287 | Medicaid | KY | |
| 0336943 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-039494 | OH | MD | Nephrology Physician |
Interoperability endpoints
- stevendumbauld@tkhc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1265476071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE",
"address_2": "#325",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203027",
"telephone_number": "513-861-0800",
"fax_number": "513-861-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE",
"address_2": "#325",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203027",
"telephone_number": "513-861-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMBAULD",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35-039494",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "22388",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200070130",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "990013023",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64782287",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0336943",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.