Igor Dumbadze, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35-03-7265 Issued in OH

Practice address

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979

Phone

(513) 841-7400

Fax

(513) 841-7402

NPI assigned

Jun 20, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri State Urologic Services PSC

  dba The Urology Group

  • Urology Physician
  • Cincinnati, OH
  • NPI 1225221914
  NPD (past)
• Trihealth Physician Institute

  dba Faculty Plan of Good Samaritan Hospital

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1912001603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1538105671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E SANKER BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121979",
            "telephone_number": "513-841-7400",
            "fax_number": "513-841-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E SANKER BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121979",
            "telephone_number": "513-841-7400",
            "fax_number": "513-841-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMBADZE",
        "first_name": "IGOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-03-7265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335453",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64782683",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340011144",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena M Duma, M.D.
• Audrey Ann Dumas, CDCA
• Marissa D Dumas
• Naomi Dumas
• Rhonda Lashawn Dumas
• Diane Dumbauld, NP
• Steven L Dumbauld, M.D.
• Alejandra Eugenia Dumenigo
• Nathan Dumford
• Rachel Ann Dummermuth, CAA

• Urology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.