Individual provider Active NPI

John Patrick Zisko, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1528063740
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35-07-0596-Z Issued in OH
Practice address
4440 Glen Este Withamsville Rd
Suite 500
Cincinnati, OH 45245-1318
Phone
(513) 753-7488
Fax
(513) 753-7879
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 35-07-0596-Z OH Primary

Addresses

Primary practice location

4440 Glen Este Withamsville Rd
Suite 500
Cincinnati, OH 45245-1318

Mailing address

4440 Glen Este Withamsville Rd
Suite 500
Cincinnati, OH 45245-1318
Phone (513) 753-7488

Other identifiers 5

IdentifierTypeStateIssuer
0114638OtherOHUNITED HEALTHCARE
000000382636OtherOHANTHEM
0307420MedicaidOH
P00313803OtherOHMEDICARE RAILROAD
8246385OtherOHCIGNA

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
I20031114000464 OH Practitioner - Sports MedicinePractitioner - Family Practice 9830003706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 347-9999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Sep 1, 2013 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Sep 1, 2013 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Greater Cincinnati Associated Physicians, Inc Past Accepting new patients
Orthopaedic Consultants of Cincinnati, Inc. Past Accepting new patients
Freiberg Orthopaedics & Sports Medicine Past Accepting new patients

Locations

4701 Creek Rd
Ste 110
Blue Ash, OH 45242
Phone (513) 733-8894

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

8250 Kenwood Crossing Way
Ste 200
Cincinnati, OH 45236
Phone (513) 221-5210

6045 Bridgetown Rd
Ste 4
Cincinnati, OH 45248

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

6350 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-1414

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

4440 Glen Este Withamsville Rd
Ste 500
Cincinnati, OH 45245
Phone (513) 753-7488

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

8737 Union Centre Blvd
West Chester, OH 45069
Phone (513) 645-2220

Interoperability endpoints

  • Direct secure messaging: jzisko18550@direct.bsmhealth.org

Organizations & group practices 7

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 4

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1528063740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
            "address_2": "SUITE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451318",
            "telephone_number": "513-753-7488",
            "fax_number": "513-753-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
            "address_2": "SUITE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451318",
            "telephone_number": "513-753-7488",
            "fax_number": "513-753-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISKO",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35-07-0596-Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0114638",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000382636",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307420",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00313803",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8246385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.