Individual provider Active NPI

Anne Louise Housholder, MD

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1518100718
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.121155 Issued in OH
Practice address
3590 Lucille Drive
Cincinnati, OH 45213
Phone
(513) 475-7630
Fax
(513) 475-7636
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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
Dermatology Physician 207N00000X 35.121155 OH Primary

Addresses

Primary practice location

3590 Lucille Drive
Cincinnati, OH 45213

Mailing address

PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130926000891 OH Practitioner - Dermatology 6103065941 Reassigns benefits to 2 organizations
I20200909000482 KS Practitioner - Dermatology 6103065941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians
The Dermatology Clinic P aGroup PAC ID 4688621451, 6 clinicians

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

835 N Hillside St
Wichita, KS 67214-4913
Phone (316) 685-4395

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Merit-based Incentive Payment System (MIPS)

Final score
77.55 of 100Reported as group
Quality
55.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions847
Removal or shaving of skin growth49
Skin biopsy47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Sep 1, 2013 Accepting new patients
The Dermatology Clinic, P a CurrentSince Sep 1, 2020 Accepting new patients
Children'S Hospital Medical Center CurrentSince Jun 27, 2017 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

1410 N Woodlawn Blvd
Ste E
Derby, KS 67037
Phone (316) 462-7420

835 N Hillside St
Wichita, KS 67214
Phone (316) 247-6451

8404 W 13th St N
Ste 220
Wichita, KS 67212
Phone (316) 247-6451

5575 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 385-3113

3590 Lucille Dr
Cincinnati, OH 45213
Phone (513) 475-7630

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

Interoperability endpoints

  • Direct secure messaging: ahousholder12473@direct.uchealth.com
  • Direct secure messaging: anne.housholder.1@15396.direct.athenahealth.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 2

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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1518100718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "address_2": "CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5505",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 LUCILLE DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45213",
            "telephone_number": "513-475-7630",
            "fax_number": "513-475-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSHOLDER",
        "first_name": "ANNE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.121155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.