Individual provider Active NPI

Elizabeth Anne Doriott, D.O.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1538344072
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-006593 Issued in OH
Practice address
11465 Springfield Pike
Cincinnati, OH 45246-3525
Phone
(513) 671-2555
Fax
(513) 671-0135
NPI assigned
Jan 3, 2008
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-006593 OH Primary

Addresses

Primary practice location

11465 Springfield Pike
Cincinnati, OH 45246-3525

Mailing address

11465 Springfield Pike
Cincinnati, OH 45246-3525
Phone (513) 671-2555

Other identifiers 1

IdentifierTypeStateIssuer
0055351MedicaidOH

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
I20041116001026 OH Practitioner - Family PracticePractitioner - Podiatry 7810951100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11465 Springfield Pike
Cincinnati, OH 45246-3525
Phone (513) 671-2555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-006593OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Better Family Care Family Medicine CurrentSince Sep 13, 2011 Accepting new patients
Derek C Hindman PastSince Sep 19, 2011 Accepting new patients

Locations

11465 Springfield Pike
Springdale, OH 45246
Phone (513) 671-2555

Interoperability endpoints

  • Direct secure messaging: elizabeth.doriott.1@10679.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10679/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1538344072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11465 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463525",
            "telephone_number": "513-671-2555",
            "fax_number": "513-671-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11465 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463525",
            "telephone_number": "513-671-2555",
            "fax_number": "513-671-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIOTT",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-006593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.