Individual provider Active NPI

Marianne B Peters, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1295812485
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071759 Issued in OH
Practice address
463 Ohio Pike
Suite 306
Cincinnati, OH 45255-3721
Phone
(513) 474-7778
Fax
(512) 474-2296
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35071759 OH Primary
Internal Medicine Physician 207R00000X 01045888A IN

Addresses

Primary practice location

463 Ohio Pike
Suite 306
Cincinnati, OH 45255-3721

Mailing address

1773 Solutions Ctr
Chicago, IL 60677-1007
Phone (513) 557-3503

Other identifiers 1

IdentifierTypeStateIssuer
2055538MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000002 OH Practitioner - Internal Medicine 7911928866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

463 Ohio Pike
Suite 306
Cincinnati, OH 45255-3737
Phone (513) 474-7778

Hospital & facility affiliations

  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045888AINMDInternal Medicine Physician
35071759OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marianne B Peters MD Inc. Internal Medicine CurrentSince Feb 1, 2003 Accepting new patients
The Christ Hospital Medical Associates, LLC Internal Medicine Past Accepting new patients

Locations

1773 Solutions Ctr
Chicago, IL 60677

7981 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 232-1847

463 Ohio Pike
Ste 306
Cincinnati, OH 45255
Phone (513) 474-7778

Organizations & group practices 2

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 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1295812485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771007",
            "telephone_number": "513-557-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 OHIO PIKE",
            "address_2": "SUITE 306",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553721",
            "telephone_number": "513-474-7778",
            "fax_number": "512-474-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARIANNE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071759",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01045888A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.