Individual provider Active NPI

Michael Anthony Policastro, MD

  • Emergency Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1508862749
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35082976 Issued in OH
Practice address
3131 Queen City Ave
Cincinnati, OH 45238-2316
Phone
(513) 557-3333
Fax
(513) 557-3332
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01091676A IN
Emergency Medicine Physician 207P00000X C175786 CA
Emergency Medicine Physician 207P00000X 35082976 OH Primary

Addresses

Primary practice location

3131 Queen City Ave
Cincinnati, OH 45238-2316

Mailing address

6885 Sweetfarm LN
Loveland, OH 45140-6064
Phone (513) 774-0914

Other identifiers 1

IdentifierTypeStateIssuer
2501037MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, CA, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040721000232 OH Practitioner - Emergency Medicine 2668452798 Reassigns benefits to 2 organizations
I20210503002644 KY Practitioner - Emergency Medicine 2668452798 Reassigns benefits to 1 organization
I20220603001670 CA Practitioner - Emergency Medicine 2668452798 Reassigns benefits to 1 organization
I20240207000830 IN Practitioner - Emergency Medicine 2668452798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C175786CAMDEmergency Medicine Physician
35082976OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince Jun 20, 2022 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Estill County,PLLC Emergency Medicine CurrentSince Apr 15, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 15, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 15, 2023 Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine CurrentSince Jul 1, 2004 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Jun 18, 2019 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 20, 2022 Accepting new patients
Vanguard Medical Emergency Medicine Past Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3131 Queen City Ave
Cincinnati, OH 45238
Phone (513) 557-3209

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

Organizations & group practices 11

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1508862749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 SWEETFARM LN",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406064",
            "telephone_number": "513-774-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 QUEEN CITY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382316",
            "telephone_number": "513-557-3333",
            "fax_number": "513-557-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICASTRO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01091676A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C175786",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35082976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2501037",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.