NPIMap

Individual provider Active NPI

Rose Ebel, DO

  • Family Medicine Physician
  • Lebanon, OH
National Provider Identifier
1619950656
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006337S Issued in OH
Practice address
1470 N Broadway St Ste 100
Lebanon, OH 45036
Phone
(513) 932-1936
Fax
(513) 932-3105
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34006337S OH Primary

Addresses

Primary practice location

1470 N Broadway St Ste 100
Lebanon, OH 45036

Mailing address

1470 N Broadway St Ste 100
Lebanon, OH 45036-1762
Phone (513) 932-1936

Other identifiers 1

IdentifierTypeStateIssuer
2288224MedicaidOH

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
I20040921000401 OH Practitioner - Family Practice 4183692882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadway Family Medicine IncGroup PAC ID 5698715803, 3 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

1470 N Broadway St
Suite 100
Lebanon, OH 45036-1762
Phone (513) 934-3037

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
89.6
Promoting interoperability
100
Improvement activities
40
Cost
72.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006337SOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Family Medicine Inc Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Alliance Physicians Inc Family Medicine PastSince Jan 1, 2003 Accepting new patients

Locations

15 N Broadway St
Lebanon, OH 45036
Phone (513) 932-1936

1470 N Broadway St
Ste 100
Lebanon, OH 45036
Phone (513) 932-1936

Interoperability endpoints

  • Direct secure messaging: rose.ebel.1@2845.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2845/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 10

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1619950656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 N BROADWAY ST STE 100",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361762",
            "telephone_number": "513-932-1936",
            "fax_number": "513-932-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 N BROADWAY ST STE 100",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-932-1936",
            "fax_number": "513-932-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEL",
        "first_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006337S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2288224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.