Individual provider Active NPI

Joel D Pranikoff, M.D.

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1629060132
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35059105 Issued in OH
Practice address
2123 Auburn Ave
528
Cincinnati, OH 45219-2906
Phone
(513) 792-5800
Fax
(513) 792-5806
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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 35059105 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
528
Cincinnati, OH 45219-2906

Mailing address

4685 Forest Ave
Ste C
Cincinnati, OH 45212-3359
Phone (513) 853-4749

Other identifiers 1

IdentifierTypeStateIssuer
0821721MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000117 OH Practitioner - Obstetrics/Gynecology 7517978604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

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

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

2123 Auburn Ave
#528
Cincinnati, OH 45219
Phone (513) 792-5800

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

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

10506 Montgomery Rd
Ste 204
Montgomery, OH 45242
Phone (513) 792-5810

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

Interoperability endpoints

  • Direct secure messaging: jpranikoff37279@direct.trihealth.com

Organizations & group practices 4

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1629060132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "address_2": "STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123359",
            "telephone_number": "513-853-4749",
            "fax_number": "513-853-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "528",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-792-5800",
            "fax_number": "513-792-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANIKOFF",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35059105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0821721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.