Crescent Health, Inc
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Mason, OH
NPI 1497854152 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1497854152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- CRESCENT HEALTH, INC
- Practice address
- 6442 Cedar Creek CT
Mason, OH 45040-7649 - Phone
- (513) 226-3687
- Fax
- (513) 336-6359
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Saba A Ansari, MD
- Title
- Owner
- Phone
- (513) 569-6780
Practitioners 3
-
Saba Azher Ansari, M.D
-
Patricia Michelle Sears, ANP-BC
-
Ran Zhou, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060502000711 | OH | Part B Supplier - Clinic/Group Practice | 3476563636 |
Receives reassigned benefits from 3 practitioners Practice locations: Middletown, OH; West Chester, OH; Morrow, OH; Mason, OH; Maineville, OH; Loveland, OH; Lebanon, OH; Hamilton, OH… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes | ||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
6442 Cedar Creek CT
Mason, OH 45040-7649
Mailing address
PO Box 635221
Cincinnati, OH 45263-0043
Phone (513) 891-7574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2949448 | Medicaid | OH | |
| DE3030 | Other | OH | RAILROAD MEDICARE |
Other providers in Mason, OH
- Craig P Cleveland, MD, Internal Medicine, Co
- Trisha Lynn Cravens
- Seryn Lucille Crawford
- Lauren Paige Creech
- John A Crenshaw
- Crestview Mental Health of Ohio, LLC
- Shelby Crossty
- Jessie Crouthers
- Carson Croy
- Roche Croy
All providers in Mason, OH · Geriatric Medicine (Internal Medicine) Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.