Individual provider Active NPI

Anisasattara Sterling Shomo, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1417273103
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.120349 Issued in OH
Practice address
3120 Burnet Ave
Cincinnati, OH 45229-3091
Phone
(513) 584-8600
Fax
(513) 584-8619
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.120349 OH Primary

Addresses

Primary practice location

3120 Burnet Ave
Cincinnati, OH 45229-3091

Mailing address

2830 Victory Parkway
Payor Enrollment
Cincinnati, OH 45206-1785
Phone (513) 585-5507

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
I20131108001863 OH Practitioner - Family Practice 3971738436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2123 Auburn Ave
Cincinnati, OH 45219-2906

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati Current Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2014 Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2014 Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Jul 29, 2014 Accepting new patients
City of Cincinnati Past Accepting new patients

Locations

2121 Hatmaker St
Cincinnati, OH 45204
Phone (513) 363-4100

3555 Kellogg Ave
Cincinnati, OH 45226
Phone (513) 363-3421

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192

2030 Fairfax Ave
Cincinnati, OH 45207
Phone (513) 363-7800

1930 Fricke Rd
Cincinnati, OH 45225
Phone (513) 357-7208

2520 Madison Rd
Cincinnati, OH 45208
Phone (513) 363-9110

1702 Grand Ave
Cincinnati, OH 45214
Phone (513) 363-4600

2411 Baltimore Ave
Cincinnati, OH 45225
Phone (513) 357-7208

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3917 Spring Grove Ave
Cincinnati, OH 45223
Phone (513) 357-7421

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289

3120 Burnet Ave
Cincinnati, OH 45229
Phone (513) 584-8600

2136 W 8th St
Cincinnati, OH 45204
Phone (513) 357-2700

5818 Madison Rd
Cincinnati, OH 45227
Phone (513) 271-6089

2146 Ferguson Rd
Cincinnati, OH 45238
Phone (513) 363-8747

3120 Burnet Ave
Ste 406
Cincinnati, OH 45229
Phone (513) 558-7700

Interoperability endpoints

  • Direct secure messaging: ashomo12544@direct.uchealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1417273103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PARKWAY",
            "address_2": "PAYOR ENROLLMENT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "telephone_number": "513-585-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293091",
            "telephone_number": "513-584-8600",
            "fax_number": "513-584-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMO",
        "first_name": "ANISASATTARA",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.120349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.