Active NPI
Samantha Ruschak
- Family Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP029493
- Practice address
- 7763 Montgomery Rd
Cincinnati, OH 45236-4201 - Phone
- (513) 891-5438
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0038697 | OH | |
| Family Nurse Practitioner | 363LF0000X | SP029493 | PA | Primary |
Addresses
Primary practice location
7763 Montgomery Rd
Cincinnati, OH 45236-4201
Mailing address
6847 Stewart Rd Apt 408
Cincinnati, OH 45236-0717
Phone (724) 972-6679
Other practice location 1
CareFirst Urgent Care
11397 Montgomery Road Suite A2
Cincinnati, OH 45249
Phone (513) 239-6854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone (513) 232-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0038697 | OH | MD | Family Medicine Physician |
| SP029493 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Medical Associates Inc | Single Specialty | Current | Accepting new patients |
Locations
11397 Montgomery Rd
Ste A-2
Cincinnati, OH 45249
Phone (513) 239-6854
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1285485284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6847 STEWART RD APT 408",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452360717",
"telephone_number": "724-972-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7763 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364201",
"telephone_number": "513-891-5438"
}
],
"practiceLocations": [
{
"address_1": "CareFirst Urgent Care",
"address_2": "11397 Montgomery Road Suite A2",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45249",
"country_code": "US",
"telephone_number": "513-239-6854",
"fax_number": "513-247-0362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSCHAK",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "0038697",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP029493",
"primary": true
}
],
"identifiers": [],
"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 Jun 30, 2025; 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.