Individual provider Active NPI

Robert Pelberg, M.D.

  • Cardiovascular Disease Physician
  • Montgomery, OH
National Provider Identifier
1326000530
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35081659 Issued in OH
Practice address
11140 Montgomery Rd
Montgomery, OH 45249-2309
Phone
(513) 792-7800
Fax
(513) 792-7807
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 35081659 OH
Cardiovascular Disease Physician 207RC0000X 35081659 OH Primary

Addresses

Primary practice location

11140 Montgomery Rd
Montgomery, OH 45249-2309

Mailing address

237 William Howard Taft Rd
2ND Floor, Cbo 2-3
Cincinnati, OH 45219-2610
Phone (513) 792-7800

Other identifiers 6

IdentifierTypeStateIssuer
000000278045OtherOHANTHEM MIDDLETOWN
2336243MedicaidOH
200411170MedicaidIN
3013183OtherAETNA
224037OtherAMERIGROUP
000000246122OtherOHANTHEM CINCINNATI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpelberg7094@direct.thechristhosptial.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040205001006 OH Practitioner - Cardiovascular Disease (Cardiology) 3072406750 Reassigns benefits to 1 organization
I20190725000698 IN Practitioner - Cardiovascular Disease (Cardiology) 3072406750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081659OHMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease CurrentSince Oct 1, 2008 Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Ohio Heart and Vascular Center, Inc Cardiovascular Disease Past Accepting new patients
Neurological & Sleep Disorders Inc Past Accepting new patients
Diagnostic Cardiologists Inc. Cardiovascular Disease Past Accepting new patients
Your MD, LLC Past Accepting new patients
Ohvc Associates, LLC Cardiovascular Disease Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

8000 5 Mile Rd
Ste 310
Cincinnati, OH 45230
Phone (513) 232-0120

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

4750 E Galbraith Rd
Ste 103
Cincinnati, OH 45236
Phone (513) 984-3500

2123 Auburn Ave
Cincinnati, OH 45219
Phone (513) 721-7373

2454 Kipling Ave
Ste G20
Cincinnati, OH 45239
Phone (513) 541-0700

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

10506 Montgomery Rd
Ste 504
Montgomery, OH 45242
Phone (513) 221-3800

630 W Main St
Wilmington, OH 45177
Phone (513) 475-8520

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1326000530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "address_2": "2ND FLOOR, CBO 2-3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-792-7800",
            "fax_number": "513-792-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452492309",
            "telephone_number": "513-792-7800",
            "fax_number": "513-792-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELBERG",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OH",
            "license": "35081659",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35081659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MIDDLETOWN",
            "identifier": "000000278045",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2336243",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200411170",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3013183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "224037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CINCINNATI",
            "identifier": "000000246122",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpelberg7094@direct.thechristhosptial.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11140 Montgomery Rd",
            "city": "Montgomery",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452492309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.