Active NPI
Elias Anaissie, MD
- Hematology & Oncology Physician
- Cincinnati, OH
National Provider Identifier
1629168109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35.120160
- Practice address
- 234 Goodman St
Cincinnati, OH 45219 - Phone
- (513) 584-8500
- Fax
- (513) 584-8554
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | E-1221 | AR | |
| Hematology & Oncology Physician | 207RH0003X | 35.120160 | OH | Primary |
| Infectious Disease Physician | 207RI0200X | E-1221 | AR |
Addresses
Primary practice location
234 Goodman St
Cincinnati, OH 45219
Mailing address
2830 Victory Parkway
Cincinnati, OH 45206
Phone (513) 584-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130970001 | Medicaid | AR | |
| 440001576 | Other | AR | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1629168109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PARKWAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45206",
"telephone_number": "513-584-8500",
"fax_number": "513-584-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-584-8500",
"fax_number": "513-584-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAISSIE",
"first_name": "ELIAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AR",
"license": "E-1221",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35.120160",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AR",
"license": "E-1221",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130970001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "440001576",
"state": "AR"
}
],
"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 Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.