Individual provider Active NPI

Magen Anastasia Brailey, PA

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1316698053
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007762RX Issued in OH
Practice address
601 Ivy Gtwy
Cincinnati, OH 45245-1898
Phone
(513) 751-2273
NPI assigned
Jan 14, 2022
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007762RX OH Primary

Addresses

Primary practice location

601 Ivy Gtwy
Cincinnati, OH 45245-1898

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2273

Other practice location 1

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 751-2273

Other identifiers 1

IdentifierTypeStateIssuer
246016MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address magen.brailey@ohc.ikm.direct-ci.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230407001083 OH Practitioner - Physician Assistant 5991170847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Care IncGroup PAC ID 8921910373, 63 clinicians

Practice addresses (Care Compare)

3301 Mercy Health Blvd
Suite 100
Cincinnati, OH 45211-1104
Phone (513) 751-2273

4777 E Galbraith Rd
Suite 1
Cincinnati, OH 45236-2725
Phone (513) 751-2273

601 Ivy Gateway
Suite 1
Cincinnati, OH 45245-1898
Phone (513) 751-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007762RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Oncology Hematology Care Inc CurrentSince Dec 28, 2022 Accepting new patients
Oncology-Hematology Care Inc Past Accepting new patients
Oncology Hematology Care Inc Past Accepting new patients

Locations

3301 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-5000

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

4777 E Galbraith Rd
Ste 320
Cincinnati, OH 45236

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

601 Ivy Gtwy
Cincinnati, OH 45245
Phone (513) 233-6480

Interoperability endpoints

  • Direct secure messaging: magen.brailey@ohc.ikm.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1316698053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 IVY GTWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451898",
            "telephone_number": "513-751-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4777 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362725",
            "country_code": "US",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAILEY",
        "first_name": "MAGEN",
        "middle_name": "ANASTASIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007762RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246016",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "magen.brailey@ohc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3301 Mercy Health Blvd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452111105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.