Active NPI
Mark A Manegold, M.D.
- Gastroenterology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35-051751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100010946 | Other | OH | RAILROAD MEDICARE |
| 0737920 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ohio State University College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 134 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-051751 | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth H LLC | Gastroenterology | Current | Accepting new patients |
| Greater Cincinnati Digestive Health Network | Gastroenterology | Current | 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
- mmanegold27507@direct.trihealth.com
- 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.
-
- Gastroenterology Physician
- Cincinnati, OH
- NPI 1720093586
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.