Active NPI
Irfan Firdaus, DO
- Medical Oncology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 34-007163
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200468060 | Medicaid | IN | |
| 2276853 | Medicaid | OH | |
| 64078751 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02006173A | IN | MD | Medical Oncology Physician |
| 34-007163 | OH | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret Mary Community Hospital, Inc | Current | Accepting new patients | |
| Margaret Mary Community Hospital, Inc | Current | Accepting new patients | |
| Margaret Mary Community Hospital Inc | Current | Accepting new patients | |
| Christ Hospital Medical Specialists II, LLC | Medical Oncology | Current | Accepting new patients |
| The Christ Hospital Medical Associates, LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Jeffrey a. Hatcher, MD, PC | Past | Accepting new patients | |
| Oncology Hematology Care, Inc | Past | 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
- 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.
-
dba Cincinnati Hematology Oncology
- Hematology & Oncology Physician
- Cincinnati, OH
- NPI 1891065256
KY, Medical Oncology
-
dba Margaret Mary Health
- Critical Access Hospital
- Batesville, IN
- NPI 1558368449
-
dba Margaret Mary Health Center of Brookville
- Rural Health Clinic/Center
- Brookville, IN
- NPI 1164132510
-
- Internal Medicine Physician
- Batesville, IN
- NPI 1316118730
-
- Home Infusion Agency
- Cincinnati, OH
- NPI 1386775286
-
dba Tchma
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1114107919
-
- Obstetrics & Gynecology Physician
- Greensburg, IN
- NPI 1336258581
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Margaret Mary Health
- Critical Access Hospital
- Batesville, IN
- NPI 1558368449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.