Active NPI
Siddharth Kishor Mushrif, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 35.095618
- Practice address
- 10500 Montgomery Rd
Montgomery, OH 45242-4402 - Phone
- (513) 865-2246
- NPI assigned
- Jun 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301086101 | MI | |
| Hospitalist Physician | 208M00000X | 35.095618 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35.095618 | OH | Primary |
Addresses
Primary practice location
10500 Montgomery Rd
Montgomery, OH 45242-4402
Mailing address
4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964
Other practice location 1
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4984
Other practice location 2
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3452
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
- Hospitalist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-5000
Hospital & facility affiliations
- Bethesda North
- Mercy Health - Clermont Hospital
- Good Samaritan Hospital
- McCullough-Hyde Memorial Hospital
- Mercy Health - West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086101 | MI | MD | Internal Medicine Physician |
| 35.095618 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Trihealth H LLC | Critical Care Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Internal Medicine | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
-
- Internal Medicine Physician
- Chillicothe, OH
- NPI 1861038069
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 10
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
- Oxford, OH
- NPI 1245216183
-
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
-
- 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": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1447455159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397",
"telephone_number": "513-246-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 MONTGOMERY RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424402",
"telephone_number": "513-865-2246"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-4984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-862-3452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSHRIF",
"first_name": "SIDDHARTH",
"middle_name": "KISHOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301086101",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.095618",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35.095618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.