Individual provider Active NPI

Irfan Firdaus, DO

  • Medical Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1275526089
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
34-007163 Issued in OH
Practice address
11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone
(513) 564-8580
Fax
(513) 564-8584
NPI assigned
Aug 26, 2005
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 02006173A IN
Medical Oncology Physician 207RX0202X 34-007163 OH Primary

Addresses

Primary practice location

11140 Montgomery Rd
Cincinnati, OH 45249-2309

Mailing address

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 564-8580

Other practice location 1

24 Six Pine Ranch Rd
Batesville, IN 47006-1399
Phone (812) 932-4673

Other identifiers 3

IdentifierTypeStateIssuer
200468060MedicaidIN
2276853MedicaidOH
64078751MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ifirdaus5973@direct.thechristhospital.com Direct
Direct Messaging Address Irfan.Firdaus@mmhealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040503000710 OH Practitioner - Medical OncologyPractitioner - Internal Medicine 1557359254 Reassigns benefits to 1 organization
I20160512000573 KY Practitioner - Medical Oncology 1557359254 Reassigns benefits to 1 organization
I20201007002405 IN Practitioner - Medical Oncology 1557359254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Specialists II, LLCGroup PAC ID 9234397241, 31 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite G
Fort Wright, KY 41011
Phone (859) 331-3304

4460 Red Bank Expressway
Suite 200
Cincinnati, OH 45227-2173
Phone (513) 321-4333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006173AINMDMedical Oncology Physician
34-007163OHMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital, Inc CurrentSince Nov 16, 2020 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Nov 16, 2020 Accepting new patients
Margaret Mary Community Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Christ Hospital Medical Specialists II, LLC Medical Oncology CurrentSince Dec 1, 2015 Accepting new patients
The Christ Hospital Medical Associates, LLC PastSince Apr 18, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Jeffrey a. Hatcher, MD, PC Past Accepting new patients
Oncology Hematology Care, Inc PastSince Jul 1, 2004 Accepting new patients

Locations

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

1955 Dixie Hwy
Ft Wright, KY 41011
Phone (513) 721-7373

1955 Dixie Hwy
Ste G
Ft Wright, KY 41011
Phone (859) 331-3304

11140 Montgomery Rd
Ste 2300
Cincinnati, OH 45249
Phone (513) 321-4333

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2139 Auburn Ave
#D
Cincinnati, OH 45219

237 Wm Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 351-9900

4460 Red Bank Rd
Ste 200
Cincinnati, OH 45227
Phone (513) 321-4333

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

5885 Harrison Ave
Ste 2900
Cincinnati, OH 45248

7545 Beechmont Ave
Ste M
Cincinnati, OH 45255
Phone (513) 321-4333

608 Reading Rd
Mason, OH 45040
Phone (513) 229-8908

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

Interoperability endpoints

  • Direct secure messaging: irfan.firdaus@mmhealth.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1275526089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492309",
            "telephone_number": "513-564-8580",
            "fax_number": "513-564-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492309",
            "telephone_number": "513-564-8580",
            "fax_number": "513-564-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Six Pine Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470061399",
            "country_code": "US",
            "telephone_number": "812-932-4673",
            "fax_number": "812-933-3701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIRDAUS",
        "first_name": "IRFAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "02006173A",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OH",
            "license": "34-007163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468060",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2276853",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64078751",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifirdaus5973@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11140 Montgomery Rd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452492309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Irfan.Firdaus@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "24 Six Pine Ranch Rd",
            "city": "Batesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470061399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.