Individual provider Active NPI

Mark A Manegold, M.D.

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1396749891
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-051751 Issued in OH
Practice address
3219 Clifton Ave Ste 330
Cincinnati, OH 45220-2452
Phone
(513) 853-9250
Fax
(513) 281-1908
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35-051751 OH Primary

Addresses

Primary practice location

3219 Clifton Ave Ste 330
Cincinnati, OH 45220-2452

Mailing address

3219 Clifton Ave Ste 330
Cincinnati, OH 45220-2452
Phone (513) 853-9250

Other practice location 1

2450 Kipling Ave
Suite 104
Cincinnati, OH 45239-6600
Phone (513) 233-4100

Other practice location 2

6949 Good Samaritan Dr
Cincinnati, OH 45247-5204
Phone (513) 853-9250

Other identifiers 2

IdentifierTypeStateIssuer
100010946OtherOHRAILROAD MEDICARE
0737920MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000569 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 2365336237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Ohio State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

3219 Clifton Ave
Suite 330
Cincinnati, OH 45220-2452
Phone (513) 853-9250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Upper gastrointestinal (GI) endoscopy for acid reflux98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-051751OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Gastroenterology CurrentSince Jul 17, 2023 Accepting new patients
Greater Cincinnati Digestive Health Network Gastroenterology CurrentSince Sep 1, 1997 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

6949 Good Samaritan Dr
Fl 3
Cincinnati, OH 45247

3219 Clifton Ave
Ste 330
Cincinnati, OH 45220
Phone (513) 451-7400

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

6949 Good Samaritan Dr
Cincinnati, OH 45247
Phone (513) 246-9800

3648 Werk Rd
Cincinnati, OH 45248
Phone (513) 233-4100

740 W Galbraith Rd
Cincinnati, OH 45231
Phone (513) 246-7337

7661 Beechmont Ave
Ste 120
Cincinnati, OH 45255
Phone (513) 231-9010

100 Arrow Springs Blvd
#200
Lebanon, OH 45036
Phone (513) 231-9010

Interoperability endpoints

  • Direct secure messaging: mmanegold27507@direct.trihealth.com
  • Direct secure messaging: markmanegold@cgi.allscriptsdirect.net

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.

Hospital & facility affiliations 6

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1396749891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202452",
            "telephone_number": "513-853-9250",
            "fax_number": "513-281-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202452",
            "telephone_number": "513-853-9250",
            "fax_number": "513-281-1908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Kipling Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452396600",
            "country_code": "US",
            "telephone_number": "513-233-4100",
            "fax_number": "513-751-2267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6949 Good Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452475204",
            "country_code": "US",
            "telephone_number": "513-853-9250",
            "fax_number": "513-281-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANEGOLD",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-051751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100010946",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737920",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.