Individual provider Active NPI

Theresa Yost Sewell, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1437124906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35080966 Issued in OH
Practice address
4370 Malsbary Rd
Suite 100
Cincinnati, OH 45242-5653
Phone
(513) 791-1222
Fax
(513) 791-2561
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35080966 OH Primary

Addresses

Primary practice location

4370 Malsbary Rd
Suite 100
Cincinnati, OH 45242-5653

Mailing address

4370 Malsbary Rd
Suite 100
Cincinnati, OH 45242-5653
Phone (513) 791-1222

Other identifiers 1

IdentifierTypeStateIssuer
2507746MedicaidOH

Other names 1

  • Dr. Theresa Marie Yost Professional name

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
I20231018000404 OH Practitioner - Pediatric Medicine 7113372616 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080966OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHMC Community Health Services Network Pediatrics Current Accepting new patients
CHMC Community Health Services Network Pediatrics CurrentSince Aug 10, 2023 Accepting new patients
Children'S Hospital Medical Center Pediatrics Past Accepting new patients
Pediatric Associates of Cincinnati, Inc Pediatrics Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

7502 State Rd
Ste 3350
Cincinnati, OH 45255
Phone (513) 231-3345

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/FmRItZc30RH60LjxwsIxQM4HGo6XcQXK/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437124906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 MALSBARY RD",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425653",
            "telephone_number": "513-791-1222",
            "fax_number": "513-791-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 MALSBARY RD",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425653",
            "telephone_number": "513-791-1222",
            "fax_number": "513-791-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "THERESA",
        "middle_name": "YOST",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35080966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2507746",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "YOST",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.