NPIMap

Individual provider Active NPI

Paul Andrew Siegwald, PA

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1346909694
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007809RX Issued in OH
Practice address
3113 Bellevue Avenue
Cincinnati, OH 45263-8247
Phone
(513) 475-8990
NPI assigned
Dec 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 50.007809RX OH Primary

Addresses

Primary practice location

3113 Bellevue Avenue
Cincinnati, OH 45263-8247

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200

Other practice location 1

1538 Harborsun Dr
Charleston, SC 29412-8247
Phone (843) 822-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220616000507 SC Practitioner - Physician Assistant 9931588217 Reassigns benefits to 1 organization
I20221019001646 OH Practitioner - Physician Assistant 9931588217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians
Kentucky Rehabilitation Services, Inc.Group PAC ID 8224096474, 142 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Cincinnati, OH 45219-2906

2390 National Rd W
Richmond, IN 47374-4625

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

7675 Wellness Way
West Chester, OH 45069-2509
Phone (513) 475-7400

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
  • Drake Center Inc Long-term care hospital, Cincinnati, OH, CCN 362004

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Quality
89.34
Promoting interoperability
89
Improvement activities
40
Cost
79.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4313SCMDDentist
50.007809RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Medical Center, LLC Physician Assistant Current Accepting new patients
Pain Specialists of Charleston PA CurrentSince Apr 14, 2022 Accepting new patients
Pain Specialists of Charleston CurrentSince Apr 14, 2022 Accepting new patients
University of Cincinnati Physicians Company, LLC Physician Assistant CurrentSince Mar 3, 2025 Accepting new patients
Premier Surgical Institute LLC Current Accepting new patients

Locations

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3113 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 475-8033

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1346909694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 BELLEVUE AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638247",
            "telephone_number": "513-475-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1538 Harborsun Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294128247",
            "country_code": "US",
            "telephone_number": "843-822-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGWALD",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007809RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.