NPIMap

Individual provider Active NPI

Ebenezer Edgar Enchia Jr., M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1417305558
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
35.147450 Issued in OH
Practice address
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone
(513) 232-7100
Fax
(513) 624-1240
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.151048 IL
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 35.147450 OH Primary
Family Medicine Physician 207Q00000X 35.147450 OH
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X GA

Addresses

Primary practice location

7575 5 Mile Rd
Cincinnati, OH 45230-4346

Mailing address

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 232-7100

Other practice location 1

611 W Park
Urbana, IL 61801
Phone (217) 383-4645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230719001233 OH Practitioner - Family PracticePractitioner - Internal Medicine 4880926054 Reassigns benefits to 2 organizations
I20230920001365 KY Practitioner - Family Practice 4880926054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.151048ILMDFamily Medicine Physician
35.147450OHMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 27, 2023 Accepting new patients
American Current Care P.a. CurrentSince Aug 8, 2023 Accepting new patients
American Current Care of Ohio PA Co CurrentSince Jul 6, 2023 Accepting new patients
American Current Care PA CurrentSince Aug 8, 2023 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Aug 27, 2023 Accepting new patients

Locations

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

1825 Airport Exchange Blvd
Ste 100
Erlanger, KY 41018
Phone (859) 647-6228

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4623 Wesley Ave
Ste C
Norwood, OH 45212
Phone (513) 841-1122

7730 First Pl
Ste D
Oakwood Vlg, OH 44146
Phone (440) 735-0438

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: eenchia2327875@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1417305558",
    "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": "513-232-7100",
            "fax_number": "513-624-1240"
        },
        {
            "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": "513-232-7100",
            "fax_number": "513-624-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Park",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "61801",
            "country_code": "US",
            "telephone_number": "217-383-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENCHIA",
        "first_name": "EBENEZER",
        "middle_name": "EDGAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.151048",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "OH",
            "license": "35.147450",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.147450",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.