Active NPI
Jeffrey David Schlaudecker, MD
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-087872
- Practice address
- 2139 Auburn Ave
Cincinnati, OH 45219-2906 - Phone
- (513) 585-9384
- Fax
- (513) 585-6634
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-087872 | OH | Primary |
Addresses
Primary practice location
2139 Auburn Ave
Cincinnati, OH 45219-2906
Mailing address
PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5502
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201134080 | Medicaid | IN | |
| 2689943 | Medicaid | OH | |
| 7100232120 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2123 Auburn Ave
Cincinnati, OH 45219-2906
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000
Hospital & facility affiliations
- Hospice of Cincinnati, Inc
- Queen City Hospice
- Christ Hospital
- Marjorie P Lee Retirement Community
- Deupree Cottages
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.71 of 100
- Quality
- 83.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.29
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-087872 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christ Hospital Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Family Medicine | Current | Accepting new patients |
| Episcopal Retirement Homes, Inc. | Past | Accepting new patients |
Locations
70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833
3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Marjorie P Lee Retirement Community | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2020 Jan 1, 2020 |
| Deupree Cottages | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2020 Jan 1, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1437130556
Adp of the SNF, Operational/Managerial Control
-
- Rehabilitation Clinic/Center
- Cincinnati, OH
- NPI 1649472903
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1114107919
Family Medicine
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1437130556
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1437130556
Nursing home
-
- Rehabilitation Clinic/Center
- Cincinnati, OH
- NPI 1649472903
Nursing home
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1598740011
-
- Community Based Hospice Care Agency
- Mason, OH
- NPI 1437432929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1316056526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"address_2": "CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-5502",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 AUBURN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-585-9384",
"fax_number": "513-585-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLAUDECKER",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-087872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201134080",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2689943",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100232120",
"state": "KY"
}
],
"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 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.