Individual provider Active NPI

Josef Adam Koberlein, OD

  • Optometrist
  • Blue Ash, OH
National Provider Identifier
1396483020
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007034 Issued in OH
Practice address
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone
(513) 984-5133
NPI assigned
May 23, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2282DT KY
Optometrist 152W00000X OPT.007034 OH Primary

Addresses

Primary practice location

1945 Cei Dr
Blue Ash, OH 45242-5664

Mailing address

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 984-5133

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
I20220805001354 OH Practitioner - Optometry 1153703210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007034OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Jun 1, 2022 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Jun 1, 2022 Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

5850 Innovation Dr
Middletown, OH 45005
Phone (513) 425-9796

Interoperability endpoints

  • Direct secure messaging: josef.koberlein.p1@direct.cei.nextgenshare.com

Organizations & group practices 2

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1396483020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-984-5133",
            "fax_number": "513-569-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-984-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBERLEIN",
        "first_name": "JOSEF",
        "middle_name": "ADAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2282DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.