NPIMap

Individual provider Active NPI

Grant Ridgway

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1568049286
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.151785 Issued in OH
Practice address
212 W Sharon Rd
Cincinnati, OH 45246-4137
Phone
(513) 771-7213
Fax
(513) 771-4356
NPI assigned
Mar 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.151785 OH Primary

Addresses

Primary practice location

212 W Sharon Rd
Cincinnati, OH 45246-4137

Mailing address

212 W Sharon Rd
Cincinnati, OH 45246-4137
Phone (513) 771-7213

Other practice location 1

2145 N Fairfield Rd Ste 100
Beavercreek, OH 45431-2783
Phone (973) 384-6800

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
I20241022001507 OH Practitioner - Family Practice 9537568464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Aurora, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

212 W Sharon Rd
Cincinnati, OH 45246-4137
Phone (513) 771-7213

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Bridges Rehab at Home Home health agency, Mason, OH, CCN 368232
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.151785OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Sep 22, 2024 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Sep 22, 2024 Accepting new patients

Locations

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

212 W Sharon Rd
Cincinnati, OH 45246
Phone (513) 771-7213

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

Interoperability endpoints

  • Direct secure messaging: gridgway2688021@direct.bsmhealth.org

Organizations & group practices 3

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 8

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1568049286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W SHARON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464137",
            "telephone_number": "513-771-7213",
            "fax_number": "513-771-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W SHARON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464137",
            "telephone_number": "513-771-7213",
            "fax_number": "513-771-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 N Fairfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454312783",
            "country_code": "US",
            "telephone_number": "973-384-6800",
            "fax_number": "937-558-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.151785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.