Individual provider Active NPI

Kristin Coppage, MD

  • Maternal & Fetal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1558369041
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
35076830C Issued in OH
Practice address
375 Dixmyth Ave
8TH Floor
Cincinnati, OH 45220-2475
Phone
(513) 862-6200
Fax
(513) 862-4358
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 35484 KY
Maternal & Fetal Medicine Physician 207VM0101X 35076830C OH Primary

Addresses

Primary practice location

375 Dixmyth Ave
8TH Floor
Cincinnati, OH 45220-2475

Mailing address

PO Box 9493
Belfast, ME 04915-9493
Phone (513) 862-6200

Other practice location 1

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2445

Other identifiers 1

IdentifierTypeStateIssuer
2315131MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050627000443 OH Practitioner - Obstetrics/Gynecology 3577508977 Reassigns benefits to 4 organizations
I20050823000235 KY Practitioner - Obstetrics/Gynecology 3577508977 Reassigns benefits to 1 organization
I20220804002946 IN Practitioner - Obstetrics/Gynecology 3577508977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35484KYMDMaternal & Fetal Medicine Physician
35076830COHMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Maternal & Fetal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Christ Hospital Medical Specialists LLC CurrentSince Oct 5, 2023 Accepting new patients
Children's Hospital Medical Center CurrentSince Sep 13, 2018 Accepting new patients
St Elizabeth Medical Center, Inc CurrentSince Jan 1, 2020 Accepting new patients
St Elizabeth Medical Center, Inc CurrentSince Jan 1, 2020 Accepting new patients
Bethesda Hospital Inc Past Accepting new patients
Tristate Maternal Fetal Medicine Inc Maternal & Fetal Medicine Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

20 Medical Village Dr
Ste 212
Edgewood, KY 41017
Phone (513) 862-6200

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

375 Dixmyth Ave
Fl 8
Cincinnati, OH 45220
Phone (513) 862-6200

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

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2123 Auburn Ave
Ste 120
Cincinnati, OH 45219
Phone (513) 245-3113

375 Dixmyth Ave
Ste 86720
Cincinnati, OH 45220

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

10498 Montgomery Rd
#D
Montgomery, OH 45242
Phone (513) 865-1639

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

7759 University Dr
Ste D
West Chester, OH 45069
Phone (513) 463-4300

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

Interoperability endpoints

  • Direct secure messaging: kcoppage4473@direct.trihealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bethesda NorthCincinnati, OH, CCN 360179 Hospital Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1558369041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9493",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159493",
            "telephone_number": "513-862-6200",
            "fax_number": "513-862-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DIXMYTH AVE",
            "address_2": "8TH FLOOR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-862-6200",
            "fax_number": "513-862-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-2445",
            "fax_number": "859-344-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPAGE",
        "first_name": "KRISTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "35484",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35076830C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2315131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.