Individual provider Active NPI

J Alvin Kpaeyeh Jr., MD

  • Clinical Cardiac Electrophysiology Physician
  • Cincinnati, OH
National Provider Identifier
1427375146
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35.136532 Issued in OH
Practice address
3301 Mercy Health Blvd Ste 125
Cincinnati, OH 45211-1106
Phone
(513) 215-9200
Fax
(513) 215-9259
NPI assigned
Apr 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.136532 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 35.136532 OH Primary

Addresses

Primary practice location

3301 Mercy Health Blvd Ste 125
Cincinnati, OH 45211-1106

Mailing address

3301 Mercy Health Blvd Ste 125
Cincinnati, OH 45211-1106
Phone (513) 215-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160927002073 SC Practitioner - Cardiovascular Disease (Cardiology) 1658694385 Reassigns benefits to 1 organization
I20190916001661 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1658694385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

7502 State Rd
Suite 2210a
Cincinnati, OH 45255-2596
Phone (513) 751-4222

Hospital & facility affiliations

  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37229SCMDRegistered Nurse
35.136532OHMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Cardiovascular Disease CurrentSince Aug 31, 2019 Accepting new patients
Vibra Physicians LLC CurrentSince Jul 1, 2016 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 31, 2019 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

7502 State Rd
Ste 2210A
Cincinnati, OH 45255
Phone (513) 624-2070

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

3301 Mercy Health Blvd
Ste 125
Cincinnati, OH 45211
Phone (513) 215-9200

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063

Interoperability endpoints

  • Direct secure messaging: jkpaeyeh653984@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 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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1427375146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD STE 125",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111106",
            "telephone_number": "513-215-9200",
            "fax_number": "513-215-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD STE 125",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111106",
            "telephone_number": "513-215-9200",
            "fax_number": "513-215-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPAEYEH",
        "first_name": "J",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.136532",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35.136532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.