NPIMap

Organization Active NPI

Medicine Inpatient Group, LLC

  • Hospitalist Physician
  • Middletown, OH
National Provider Identifier
1326227307
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MEDICINE INPATIENT GROUP, LLC
Practice address
6730 Roosevelt Ave
Ste 303
Middletown, OH 45005-5730
Phone
(513) 618-7430
Fax
(513) 280-8868
NPI assigned
Oct 26, 2007
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Madhu P Chalasani, MDNPI 1780630947
Title
Managing Partner
Phone
(513) 706-8706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Clinical Nurse Specialist 364S00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005-5730

Mailing address

PO Box 229
Miamisburg, OH 45343-0229
Phone (513) 618-7430

Other identifiers 4

IdentifierTypeStateIssuer
2814208MedicaidOH
200987660 AMedicaidIN
DN3587OtherRR MEDICARE
7100178830MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080201000076 OH Part B Supplier - Clinic/Group Practice 3577645340 Receives reassigned benefits from 45 practitioners
Practice locations: Toledo, OH; West Chester, OH; Middletown, OH; Miamisburg, OH; Mason, OH; Liberty TWP, OH; Harrison, OH; Hamilton, OH…
O20150108000836 KY Part B Supplier - Clinic/Group Practice 3577645340 Receives reassigned benefits from 19 practitioners
Practice locations: Edgewood, KY; Union, KY; Florence, KY; Erlanger, KY; Elsmere, KY; Covington, KY; Cold Spring, KY

National Provider Directory

National Provider Directory

Locations

6975 Burlington Pike
Florence, KY 41042
Phone (502) 525-6511

11230 Pippin Rd
Cincinnati, OH 45231
Phone (513) 851-0601

151 W Galbraith Rd
Cincinnati, OH 45216
Phone (513) 418-2500

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

835 S Main St
Dayton, OH 45402
Phone (937) 424-8200

350 Hancock Ave
Hamilton, OH 45011
Phone (513) 863-4218

2310 Cross Pointe Dr
Miamisburg, OH 45342
Phone (937) 614-0556

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430

8050 Beckett Center Dr
Ste 108
West Chester, OH 45069
Phone (513) 618-7430

8216 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 557-3200

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Berkeley Square Retirement CommunityHamilton, OH, CCN 366053 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Apr 14, 2025
Westover Retirement CommunityHamilton, OH, CCN 366232 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Apr 14, 2025
Jamestowne RehabilitationHamilton, OH, CCN 366450 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Apr 14, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1326227307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453430229",
            "telephone_number": "513-618-7430",
            "fax_number": "513-280-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE",
            "address_2": "STE 303",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055730",
            "telephone_number": "513-618-7430",
            "fax_number": "513-280-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE INPATIENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "513-706-8706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2814208",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200987660 A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN3587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100178830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.