Individual provider Active NPI

Mario Sefton Riportella, PA

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1386913960
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003455RX Issued in OH
Practice address
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone
(513) 232-6677
Fax
(513) 232-2522
NPI assigned
Dec 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.003455 OH
Physician Assistant 363A00000X 50.003455RX OH Primary

Addresses

Primary practice location

7575 5 Mile Rd
Cincinnati, OH 45230-4346

Mailing address

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 232-6677

Other practice location 1

3000 Arlington Ave Ste 2C
Toledo, OH 43614-2595
Phone (419) 383-3759

Other identifiers 1

IdentifierTypeStateIssuer
0071656MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120213000620 OH Practitioner - Physician Assistant 0941467377 Reassigns benefits to 7 organizations
I20221026002456 NY Practitioner - Physician Assistant 0941467377 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

360 Glensprings Dr
Springdale, OH 45246-2304
Phone (513) 671-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026691NYMDContractor
50.003455RXOHMDPhysician Assistant
50.003455OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Apr 4, 2019 Accepting new patients
University of Toledo Physicians LLC Physician Assistant CurrentSince Mar 4, 2025 Accepting new patients
Mount Carmel Health System CurrentSince Feb 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Nov 23, 2020 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Feb 1, 2023 Accepting new patients
University of Toledo Physicians LLC CurrentSince Mar 4, 2025 Accepting new patients
Alliance Physicians Inc CurrentSince Apr 4, 2019 Accepting new patients
Van Wert Medical Services, LTD. CurrentSince Mar 22, 2022 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Port City Emergency Physicians LLP Physician Assistant CurrentSince Jun 14, 2023 Accepting new patients
Promedica Central Physicians Physician Assistant CurrentSince Nov 23, 2020 Accepting new patients
Mount Carmel Health System CurrentSince Feb 1, 2022 Accepting new patients
Orthopaedic Consultants of Cincinnati, Inc. Past Accepting new patients
Emergency Medicine Physicians of Hamilton County, LTD. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cincy Health LLC Past Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

3000 Arlington Ave
Ste 2C
Toledo, OH 43614
Phone (419) 383-3759

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Interoperability endpoints

  • Direct secure messaging: mriportella1634832@direct.trinity-health.org
  • Direct secure messaging: mriportella654935@direct.ketteringhealth.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

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": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1386913960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-232-6677",
            "fax_number": "513-232-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-232-6677",
            "fax_number": "513-232-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPORTELLA",
        "first_name": "MARIO",
        "middle_name": "SEFTON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003455",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003455RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.