Brian J Skillicorn, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A90790 Issued in CA

Practice address

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251

Phone

(513) 872-4500

Fax

(513) 527-0416

NPI assigned

Jul 14, 2006

Last updated

Jul 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH, KY, VA3 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

Specialty

Diagnostic Radiology

Education

University of Cincinnati College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Radiology IncGroup PAC ID 0941298764, 41 clinicians

Town Center Imaging 2 LLCGroup PAC ID 2860910171, 21 clinicians

Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christ Hospital Hospital, Cincinnati, OH, CCN 360163
• The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
• Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
• Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
• Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301

Merit-based Incentive Payment System (MIPS)

Final score

69.07 of 100Reported as group

Quality

57.65

Improvement activities

40

Cost

74.53

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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.

• Professional Radiology Inc.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
  • NPI 1043348014

  KY

  Medicare reassignment Care Compare group NPD
• Riverhills Healthcare Inc

  dba Riverhills Neuroscience

  • Neurology Physician
  • Cincinnati, OH
  • NPI 1205943651

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Town Center Imaging 2 LLC

  • Radiology Clinic/Center
  • Virginia Beach, VA
  • NPI 1912702150

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Professional Readers Group, Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1861445702
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christ Hospital

  dba The Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289
  Care Compare affiliation
• Jewish Hospital LLC

  dba The Jewish Hospital - Mercy Health

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1336478163
  Care Compare affiliation
• Mercy Health - Anderson Hospital LLC

  dba Mercy Hospital Anderson

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1235239211
  Care Compare affiliation
• Mercy Health Kings Mills Hospital LLC

  dba Mercy Health - Kings Mills Hospital

  • General Acute Care Hospital
  • Mason, OH
  • NPI 1790469146
  Care Compare affiliation
• Mercy Health-Marcum & Wallace Hospital LLC

  dba Mercy Health Marcum and Wallace Hospital

  • Critical Access Hospital
  • Irvine, KY
  • NPI 1487643821
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1295751394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-527-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-527-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLICORN",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A90790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100039440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200842630",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2686964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Shuttlesworth Sippel
• Kavitha R Sivaraman, M.D.
• Randi R Sizemore
• SJP Therapy, LLC
• SJP Therapy, LLC
• Autumn Marie Slover, M.A. E.D., LPCC
• Lauren Sluder
• Sari Small
• Christopher Allan Smart, PHARMD
• Natasha Christine-Marie Smart

• Diagnostic Radiology Physician in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.

Verify at the official NPI Registry.