Individual provider Active NPI

Jonathan Buck, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1487017646
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.136082 Issued in OH
Practice address
2753 Erie Ave
Cincinnati, OH 45208-2204
Phone
(513) 246-8000
Fax
(513) 871-2824
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.136082 OH Primary

Addresses

Primary practice location

2753 Erie Ave
Cincinnati, OH 45208-2204

Mailing address

2753 Erie Ave
Cincinnati, OH 45208-2204
Phone (513) 246-8000

Other practice location 1

1775 W Lexington Ste 150
Cincinnati, OH 45212-3668
Phone (513) 246-8000

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
I20190822002499 OH Practitioner - Internal Medicine 8729378179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

2753 Erie Ave
Cincinnati, OH 45208-2204
Phone (513) 246-8000

Hospital & facility affiliations

  • Summit Orthopaedic Home Care Home health agency, Blue Ash, OH, CCN 369119
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Internal Medicine CurrentSince Sep 3, 2019 Accepting new patients
Trihealth G, LLC CurrentSince Sep 3, 2019 Accepting new patients
Trihealth G LLC Internal Medicine Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

1775 W Lexington
Ste 150
Cincinnati, OH 45212
Phone (513) 246-8000

2753 Erie Ave
Cincinnati, OH 45208
Phone (513) 246-8000

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: jbuck232531@direct.trihealth.com

Organizations & group practices 3

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 9

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1487017646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082204",
            "telephone_number": "513-246-8000",
            "fax_number": "513-871-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082204",
            "telephone_number": "513-246-8000",
            "fax_number": "513-871-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Lexington Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452123668",
            "country_code": "US",
            "telephone_number": "513-246-8000",
            "fax_number": "513-853-7909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.136082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.