NPIMap

Individual provider Active NPI

Michael Robert Jennings, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1356348569
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35049135 Issued in OH
Practice address
237 William Howard Taft Rd RM 3-064
Cincinnati, OH 45219-2610
Phone
(513) 263-8590
Fax
(513) 272-0362
NPI assigned
Jul 1, 2005
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54265 KY
Internal Medicine Physician 207R00000X 35049135 OH Primary

Addresses

Primary practice location

237 William Howard Taft Rd RM 3-064
Cincinnati, OH 45219-2610

Mailing address

237 William Howard Taft Rd RM 3-064
Cincinnati, OH 45219-2610
Phone (513) 263-8590

Other practice location 1

2123 Auburn Ave Ste 334
Cincinnati, OH 45219-2906
Phone (513) 585-1500

Other identifiers 2

IdentifierTypeStateIssuer
0678539MedicaidOH
64062169MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjennings1797@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35049135OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Park Medical Associates, Inc. Internal Medicine Current Accepting new patients
Christ Hospital Education and Clinical Research Fund PastSince Aug 1, 1999 Accepting new patients
Tri State Primary Care LLC Internal Medicine Past Accepting new patients
Christ Hospital Orthopedic Associates III LLC Past Accepting new patients
James D, Inc Past Accepting new patients
The Christ Hospital Medical Associates, III Internal Medicine PastSince Sep 27, 2020 Accepting new patients
Twin Towers Past Accepting new patients
Highlandspring Health Care and Rehabilitation LLC Past Accepting new patients
University of Cincinnati Physicians Company, LLC Internal Medicine Past Accepting new patients
Ebenezer Road Corporation Past Accepting new patients
Bayley Senior Care Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1356348569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD RM 3-064",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-263-8590",
            "fax_number": "513-272-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD RM 3-064",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-263-8590",
            "fax_number": "513-272-0362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Auburn Ave Ste 334",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-585-1500",
            "fax_number": "513-585-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "54265",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35049135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0678539",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64062169",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjennings1797@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2123 Auburn Ave Ste 334",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.