Organization Active NPI

Podiatry Associates of Cincinnati Inc.

  • Foot & Ankle Surgery Podiatrist
  • Cincinnati, OH
National Provider Identifier
1356435150
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRY ASSOCIATES OF CINCINNATI INC.
Practice address
10615 Montgomery Rd Ste 100
Cincinnati, OH 45242-4460
Phone
(513) 474-4450
Fax
(513) 793-3840
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Dawn Grinspan
Title
Practice Manager
Phone
(513) 474-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

10615 Montgomery Rd Ste 100
Cincinnati, OH 45242-4460

Mailing address

10615 Montgomery Rd Ste 100
Cincinnati, OH 45242-4460
Phone (513) 474-4450

Other identifiers 2

IdentifierTypeStateIssuer
2364641MedicaidOH
000000251377OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000005 OH Part B Supplier - Clinic/Group Practice 1052347325 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH; West Chester, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0347837Podiatry Associates of Cincinnati, Inc10615 Montgomery Rd, Cincinnati, OH 45242Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

4357 Ferguson Dr
Cincinnati, OH 45245
Phone (513) 474-4450

10615 Montgomery Rd
Ste 100
Montgomery, OH 45242
Phone (513) 221-1115

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1356435150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 MONTGOMERY RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424460",
            "telephone_number": "513-474-4450",
            "fax_number": "513-474-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 MONTGOMERY RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424460",
            "telephone_number": "513-474-4450",
            "fax_number": "513-793-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF CINCINNATI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "GRINSPAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-474-4450"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364641",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000251377",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.