Organization Active NPI

Pretorius and Robles M.D.'S

  • Endocrinology, Diabetes & Metabolism Physician
  • Cincinnati, OH
National Provider Identifier
1619901840
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.056690 Issued in OH
Legal business name
PRETORIUS AND ROBLES M.D.'S
Practice address
4743 Cornell Rd
Cincinnati, OH 45241-2432
Phone
(513) 561-3797
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. Harold Thomas Pretorius, M.D., PH.D.NPI 1760431159
Title
Medical Director
Phone
(513) 561-3797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35.056690 OH
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 31919 KY
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 35.056690 OH Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 31919 KY
Nuclear Imaging & Therapy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0902X 35.056690 OH

Addresses

Primary practice location

4743 Cornell Rd
Cincinnati, OH 45241-2432

Mailing address

4743 Cornell Rd
Cincinnati, OH 45241-2432
Phone (513) 561-3797

Other identifiers 14

IdentifierTypeStateIssuer
0586094MedicaidOH
31-1180985OtherOHTAX ID # DR. ALAM
22000000013351OtherOHANTHEMBLUECROSSBLUESHIELD
64-869316MedicaidKY
167090543703OtherOHHUMANA
P2309187OtherOHOXFORD
1137929OtherOHWORKER'S COMPENSATION
56690OtherOHCHOICECARE
000000013351OtherKYANTHEMHEALTHPLANSKENTUCKY
1205826732OtherNPI PROVIDER NUMBER DR. ALAM
4100195OtherOHAETNA
0764589MedicaidOH
110069666OtherOHRAILROAD MEDICARE
56690OtherOHHMNANA/CHOICECARE

National Provider Directory

National Provider Directory
Tax ID family
Harold T Pretorius MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 Landmark Dr
Ste 260
Bellevue, KY 41073

322 Greenup St
Covington, KY 41011
Phone (859) 291-8600

1717 Dixie Hwy
Ft Wright, KY 41011
Phone (859) 320-9300

7124 Miami Ave
Ste C
Madeira, OH 45243
Phone (513) 271-8010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1619901840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 CORNELL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412432",
            "telephone_number": "513-561-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 CORNELL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412432",
            "telephone_number": "513-561-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETORIUS AND ROBLES M.D.'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "PRETORIUS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-561-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.056690",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31919",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.056690",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "31919",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OH",
            "license": "35.056690",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586094",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID # DR. ALAM",
            "identifier": "31-1180985",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBLUECROSSBLUESHIELD",
            "identifier": "22000000013351",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64-869316",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "167090543703",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2309187",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "1137929",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICECARE",
            "identifier": "56690",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMHEALTHPLANSKENTUCKY",
            "identifier": "000000013351",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER NUMBER DR. ALAM",
            "identifier": "1205826732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4100195",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0764589",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110069666",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMNANA/CHOICECARE",
            "identifier": "56690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.