Individual provider Active NPI

Christine Michael Pennesi, MD

  • Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1629498985
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35.139364 Issued in OH
Practice address
3333 Burnet Avenue
MLC 2026
Cincinnati, OH 45229-3026
Phone
(513) 636-9400
Fax
(513) 636-0166
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 35.139364 OH Primary
Obstetrics & Gynecology Physician 207V00000X 4301114329 MI

Addresses

Primary practice location

3333 Burnet Avenue
MLC 2026
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Avenue
MLC 2026
Cincinnati, OH 45229-3026
Phone (513) 636-9400

Other practice location 1

1500 East Medical Center Dr
9th floor VonVoigtlander Womens Hosp Recp 'B'
Ann Arbor, MI 48109-4276
Phone (734) 763-6295

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
I20200818002986 OH Practitioner - Pediatric Medicine 3678882313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.139364OHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center CurrentSince Jul 9, 2020 Accepting new patients
Anderson Hills Pediatrics Inc Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

2765 Chapel Pl
Crestview Hills, KY 41017
Phone (859) 344-1900

7495 State Rd
Ste 355
Cincinnati, OH 45255
Phone (513) 636-6100

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#2026
Cincinnati, OH 45229
Phone (513) 636-9400

7777 Yankee Rd
#16062
Liberty Township, OH 45044
Phone (513) 636-3200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22771/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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1629498985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 2026",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-9400",
            "fax_number": "513-636-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 2026",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-9400",
            "fax_number": "513-636-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 East Medical Center Dr",
            "address_2": "9th floor VonVoigtlander Womens Hosp Recp 'B'",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481094276",
            "country_code": "US",
            "telephone_number": "734-763-6295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNESI",
        "first_name": "CHRISTINE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35.139364",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301114329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.