NPIMap

Individual provider Active NPI

Mary D Blades, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1306842042
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067523 Issued in OH
Practice address
5885 Harrison Ave
Suite 3500
Cincinnati, OH 45248-1651
Phone
(513) 922-9960
Fax
(513) 347-2347
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35067523 OH Primary

Addresses

Primary practice location

5885 Harrison Ave
Suite 3500
Cincinnati, OH 45248-1651

Mailing address

5885 Harrison Ave
Suite 3500
Cincinnati, OH 45248-1651
Phone (513) 922-9960

Other identifiers 1

IdentifierTypeStateIssuer
030497MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mblades1793@direct.thechristhospital.com Direct The Christ Hospital Medical Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000647 OH Practitioner - Internal Medicine 8325111065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

5885 Harrison Ave
Cincinnati, OH 45248-1691
Phone (513) 598-3500

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Aventura at West Park Nursing home, Cincinnati, OH, CCN 365603

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067523OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Internal Medicine CurrentSince May 1, 2008 Accepting new patients
Tri State Primary Care LLC Internal Medicine Past Accepting new patients
Aventura at West Park LLC Past Accepting new patients

Locations

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

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

5885 Harrison Ave
Ste 3500
Cincinnati, OH 45248
Phone (513) 922-9660

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

5310 Rapid Run Rd
Cincinnati, OH 45238
Phone (513) 922-9660

Organizations & group practices 3

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 9

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306842042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE",
            "address_2": "SUITE 3500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481651",
            "telephone_number": "513-922-9960",
            "fax_number": "513-347-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE",
            "address_2": "SUITE 3500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481651",
            "telephone_number": "513-922-9960",
            "fax_number": "513-347-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLADES",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030497",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mblades1793@direct.thechristhospital.com",
            "affiliation": "Y",
            "affiliationName": "The Christ Hospital Medical Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5885 Harrison Ave",
            "address_2": "Suite 3500",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452481651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.