NPIMap

Individual provider Active NPI

Nicholas D Woebkenberg, DPM

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1265714737
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003691 Issued in OH
Practice address
4357 Ferguson Dr
Suite 150
Cincinnati, OH 45245-1760
Phone
(513) 474-4450
Fax
(513) 474-6387
NPI assigned
Sep 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003691 OH Primary

Addresses

Primary practice location

4357 Ferguson Dr
Suite 150
Cincinnati, OH 45245-1760

Mailing address

4357 Ferguson Dr
Suite 150
Cincinnati, OH 45245-1760
Phone (513) 474-4450

Other practice location 1

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-1800

Other identifiers 2

IdentifierTypeStateIssuer
0100734MedicaidOH
2565399MedicaidOH

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
I20140520002288 OH Practitioner - Podiatry 6406079425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Family Practice CenterGroup PAC ID 7012905292, 15 clinicians
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians
Podiatry Associates of Cincinnati IncGroup PAC ID 1052347325, 5 clinicians

Practice addresses (Care Compare)

1775 W Lexington
Suite 100
Cincinnati, OH 45212-3667
Phone (513) 977-6700

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-2563

4357 Ferguson Dr
Suite 150
Cincinnati, OH 45245-1760
Phone (513) 474-4450

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue193
Removal of skin lesions165
Removal of nail tissue1033
Removal or shaving of skin growth134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003691OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Family Practice Center CurrentSince Jul 31, 2024 Accepting new patients
Podiatry Associates of Cincinnati, Inc CurrentSince Jun 1, 2014 Accepting new patients
Trihealth G LLC CurrentSince Jul 1, 2021 Accepting new patients
Podiatry Associates of Cincinnati Inc. CurrentSince Jun 1, 2014 Accepting new patients
Trihealth H LLC CurrentSince May 27, 2023 Accepting new patients
Trihealth G, LLC CurrentSince Jul 1, 2021 Accepting new patients
Podiatry Associates of Cincinnati Inc Podiatrist Past Accepting new patients
Podiatry Associates of Cincinnati Inc. Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

1775 W Lexington
Ste 100
Cincinnati, OH 45212
Phone (513) 531-6720

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

4357 Ferguson Dr
Ste 150
Cincinnati, OH 45245
Phone (513) 474-4450

8404 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 474-1847

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

10615 Montgomery Rd
Ste 100
Montgomery, OH 45242
Phone (513) 221-1115

8746 Union Centre Blvd
West Chester, OH 45069
Phone (513) 779-9673

Interoperability endpoints

  • Direct secure messaging: nicholas.woebkenberg.1@21959.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21959/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 7

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1265714737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4357 FERGUSON DR",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451760",
            "telephone_number": "513-474-4450",
            "fax_number": "513-474-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 FERGUSON DR",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451760",
            "telephone_number": "513-474-4450",
            "fax_number": "513-474-6387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-1800",
            "fax_number": "513-751-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOEBKENBERG",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100734",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565399",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.