NPIMap

Individual provider Active NPI

Robert Mitchell Osborne, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1336152388
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OH35055841 Issued in OH
Practice address
1060 Nimitzview Drive
Suite 210
Cincinnati, OH 45230-2188
Phone
(513) 624-3100
Fax
(513) 232-8600
NPI assigned
Aug 14, 2006
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 OH35055841 OH Primary

Addresses

Primary practice location

1060 Nimitzview Drive
Suite 210
Cincinnati, OH 45230-2188

Mailing address

1060 Nimitzview Dr Ste 210
Cincinnati, OH 45230-4351
Phone (513) 624-3100

Other identifiers 2

IdentifierTypeStateIssuer
0735940MedicaidOH
0987464MedicaidOH

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
I20100604000497 OH Practitioner - Internal Medicine 5193855906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1060 Nimitzview Dr
Suite 210
Cincinnati, OH 45230-4351
Phone (513) 624-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH35055841OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hills Internal Medicine Inc Internal Medicine CurrentSince Aug 4, 1994 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1060 Nimitzview Dr
Ste 210
Cincinnati, OH 45230
Phone (513) 232-3500

8000 5 Mile Rd
Ste 320
Cincinnati, OH 45230
Phone (513) 232-6900

Organizations & group practices 2

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 8

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1336152388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 NIMITZVIEW DR STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304351",
            "telephone_number": "513-624-3100",
            "fax_number": "513-232-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 NIMITZVIEW DRIVE",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302188",
            "telephone_number": "513-624-3100",
            "fax_number": "513-232-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "ROBERT",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "OH35055841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735940",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987464",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.