NPIMap

Individual provider Active NPI

Clayton Alan Carmody, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cincinnati, OH
National Provider Identifier
1548528573
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
35134940 Issued in OH
Practice address
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone
(513) 347-9999
Fax
(513) 232-2522
NPI assigned
Apr 27, 2012
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X MD60763576 WA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35134940 OH Primary

Addresses

Primary practice location

7575 5 Mile Rd
Cincinnati, OH 45230-4346

Mailing address

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

Other practice location 1

7640 Sylvania Ave Ste B
Sylvania, OH 43560
Phone (419) 517-8178

Other identifiers 3

IdentifierTypeStateIssuer
0313996MedicaidOH
H648601OtherOHMEDICARE
H648600OtherOHMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213000733 OH Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3476822081 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
Mason, OH 45040-6852

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60763576WAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Sports Medicine CurrentSince Oct 2, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Sports Medicine CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 11, 2019 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 11, 2019 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Sports Medicine CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Oct 2, 2024 Accepting new patients

Locations

3301 Mercy Health Blvd
Ste 450
Cincinnati, OH 45211
Phone (513) 451-0500

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

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

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

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

2702 Navarre Ave
Ste 102
Oregon, OH 43616
Phone (419) 696-7000

7640 Sylvania Ave
Ste A-1
Sylvania, OH 43560
Phone (419) 517-1700

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: ccarmody470355@direct.bsmhealth.org

Organizations & group practices 9

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 6

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1548528573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-347-9999",
            "fax_number": "513-232-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-347-9999",
            "fax_number": "513-232-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7640 Sylvania Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "43560",
            "country_code": "US",
            "telephone_number": "419-517-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "CLAYTON",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "WA",
            "license": "MD60763576",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35134940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313996",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H648601",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H648600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.