NPIMap

Individual provider Active NPI

Michael E Freese, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1639104474
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073012 Issued in OH
Practice address
2135 Dana Ave Suite 210
Cincinnati, OH 45207
Phone
(513) 351-1200
Fax
(513) 351-1580
NPI assigned
Jul 11, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35073012 OH Primary

Addresses

Primary practice location

2135 Dana Ave Suite 210
Cincinnati, OH 45207

Mailing address

2135 Dana Ave Suite 210
Cincinnati, OH 45207-2276
Phone (513) 351-1200

Other identifiers 3

IdentifierTypeStateIssuer
311329395OtherOHHUMANA
000000065218OtherOHANTHEM
0404690OtherOHUHC

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
I20100423000762 OH Practitioner - Internal Medicine 4880721745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyde Park Medical Associates IncGroup PAC ID 2567544505, 2 clinicians

Practice addresses (Care Compare)

2135 Dana Ave
Suite 210
Cincinnati, OH 45207-1327

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073012OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Park Medical Associates, Inc. Internal Medicine CurrentSince Jul 26, 1999 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2135 Dana Ave
Ste 210
Cincinnati, OH 45207
Phone (513) 321-0833

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1639104474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452072276",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45207",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESE",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "311329395",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000065218",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0404690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.