Active NPI
Richard S Kerstine, MD
- Ophthalmology Physician
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 12615
- Practice address
- 1401 Madison Ave
Covington, KY 41011-3313 - Phone
- (859) 655-6100
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 12615 | KY | Primary |
| Ophthalmology Physician | 207W00000X | 35027971 | OH |
Addresses
Primary practice location
1401 Madison Ave
Covington, KY 41011-3313
Mailing address
1945 Cei Drive
Cincinnati, OH 45242-3311
Phone (513) 569-3741
Other practice location 1
1945 Cei Drive
Cincinnati, OH 45242-3311
Phone (513) 569-3741
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034984 | Medicaid | OH | |
| 100373690 | Medicaid | IN | |
| 00000021262 | Other | BCBS | |
| 64733280 | Medicaid | KY | |
| 180026069 | Other | OH | RAILROAD MEDICARE |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35027971 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Current | Accepting new patients | |
| University Eye Physicians, Inc | Ophthalmology | Past | Accepting new patients |
| Clovernook Center for the Blind and Visually Impaired | Past | Accepting new patients |
Locations
275 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-4811
580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000
1945 Cei Dr
Blue Ash, OH 45242
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Low Vision Rehabilitation Optometrist
- Lawrenceburg, IN
- NPI 1831275882
-
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1992759203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1376583112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 CEI DRIVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452423311",
"telephone_number": "513-569-3741",
"fax_number": "513-569-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MADISON AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113313",
"telephone_number": "859-655-6100"
}
],
"practiceLocations": [
{
"address_1": "1945 CEI DRIVE",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452423311",
"country_code": "US",
"telephone_number": "513-569-3741",
"fax_number": "513-569-3941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERSTINE",
"first_name": "RICHARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "12615",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35027971",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0034984",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100373690",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00000021262",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64733280",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180026069",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.