Individual provider Active NPI

Irina A Fennimore, MD

  • Obstetrics & Gynecology Physician
  • Montgomery, OH
National Provider Identifier
1588829360
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35090197 Issued in OH
Practice address
10506 Montgomery Rd Ste 504
Montgomery, OH 45242-4400
Phone
(513) 221-3800
Fax
(513) 682-4520
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35090197 OH Primary

Addresses

Primary practice location

10506 Montgomery Rd Ste 504
Montgomery, OH 45242-4400

Mailing address

10506 Montgomery Rd Ste 504
Montgomery, OH 45242-4400
Phone (513) 221-3800

Other practice location 1

3050 Mack Road
Suite 375
Fairfield, OH 45014-5378
Phone (513) 221-3800

Other identifiers 1

IdentifierTypeStateIssuer
35090197MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address IFennimore@ogai.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080819000815 OH Practitioner - Obstetrics/Gynecology 0446325815 Reassigns benefits to 2 organizations
I20231206001402 IN Practitioner - Obstetrics/Gynecology 0446325815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
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)

10506 Montgomery Rd
Montgomery, OH 45242-4400

375 Dixmyth Ave
Cincinnati, OH 45220-2475

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

8020 Liberty Way
Liberty TWP, OH 45069-2519
Phone (513) 246-1760

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
DHP of Indiana, P.C. Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Bethesda Hospital Inc Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

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

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

3050 Mack Rd
Ste 375
Fairfield, OH 45014
Phone (513) 221-3800

2990 Mack Rd
Ste 110
Fairfield, OH 45014
Phone (513) 603-8897

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

10506 Montgomery Rd
Ste 504
Montgomery, OH 45242
Phone (513) 221-3800

8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300

Interoperability endpoints

  • Direct secure messaging: ifennimore39251@direct.trihealth.com
  • Direct secure messaging: irfennim@yourcarecommunity.org
  • Direct secure messaging: ifennimore@ogai.gwaydirect.com

Organizations & group practices 7

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 7

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1588829360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 504",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424400",
            "telephone_number": "513-221-3800",
            "fax_number": "513-682-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 504",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424400",
            "telephone_number": "513-221-3800",
            "fax_number": "513-682-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Mack Road",
            "address_2": "Suite 375",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450145378",
            "country_code": "US",
            "telephone_number": "513-221-3800",
            "fax_number": "513-682-4528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENNIMORE",
        "first_name": "IRINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35090197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35090197",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "IFennimore@ogai.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "EHR direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3050 Mack Road",
            "address_2": "Suite 375",
            "city": "Fairfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450145378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.