Individual provider Active NPI

Robert M Brarens, DPM, FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Cincinnati, OH
National Provider Identifier
1366492001
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003288 Issued in OH
Practice address
11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705
Phone
(513) 489-2400
Fax
(513) 489-2455
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003288 OH
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 36.003288 OH Primary

Addresses

Primary practice location

11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705

Mailing address

11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705
Phone (513) 489-2400

Other practice location 1

8111 Cheviot Rd Ste 100
Cincinnati, OH 45247-4013
Phone (513) 489-2400

Other identifiers 7

IdentifierTypeStateIssuer
2663078MedicaidOH
000000674941OtherOHANTHEM
01378400OtherOHAMERIGROUP
751247OtherOHBUCKEYE
27-2930945-016OtherOHMEDICAL MUTUAL
272930945-051OtherOHCARESOURCE
7601544OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060717000005 OH Practitioner - Podiatry 7618948258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surestep Foot and Ankle Medical Center LLCGroup PAC ID 3476677865, 5 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

11821 Mason Montgomery Rd
Suite 1
Cincinnati, OH 45249-3705
Phone (513) 489-2400

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue31
Removal of skin lesions50
Removal of nail tissue270
Removal or shaving of skin growth72
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
645COMDGeneral Practice Dentistry
36003288OHMDPodiatrist
36.003288OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Surestep Foot & Ankle Medical Center, LLC Single Specialty CurrentSince Aug 1, 2010 Accepting new patients
Surestep Foot & Ankle Medical Center LLC Single Specialty CurrentSince Aug 1, 2010 Accepting new patients
Practice of Optometry, Inc Single Specialty Past Accepting new patients
Surestep Foot & Ankle Medical Center LLC Past Accepting new patients
Surestep Foot & Ankle Medical Center, LLC Past Accepting new patients
Your Hometown Foot Care Inc Single Specialty PastSince Nov 1, 2020 Accepting new patients
Surestep Foot & Ankle Medical Center LLC Single Specialty Past Accepting new patients

Locations

8111 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 489-2400

11821 Mason Montgomery Rd
Ste 4B
Cincinnati, OH 45249
Phone (513) 489-2400

11821 Mason Montgomery Rd
Ste 1
Cincinnati, OH 45249
Phone (513) 489-2400

8111 Cheviot Rd
Ste 100
Cincinnati, OH 45247
Phone (513) 385-6946

11821 Mason Montgomery Rd
#4B
Cincinnati, OH 45249
Phone (513) 489-2400

8221 Cornell Rd
Ste 410
Cincinnati, OH 45249
Phone (513) 791-6757

6770 Cincinnati Dayton Rd
Ste 201
Liberty Township, OH 45044
Phone (513) 489-2400

7344 Hamilton Ave
Mount Healthy, OH 45231
Phone (513) 931-1043

Interoperability endpoints

  • Direct secure messaging: rbrarens3816@direct.bsmhealth.org

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 4

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1366492001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 MASON MONTGOMERY RD # 4B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452493705",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 MASON MONTGOMERY RD # 4B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452493705",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Cheviot Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452474013",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRARENS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM, FACFAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003288",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2663078",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000674941",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01378400",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "751247",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "27-2930945-016",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "272930945-051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7601544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.