Individual provider Active NPI

David Timothy Thompson, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1639564800
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35139480 Issued in OH
Practice address
7810 5 Mile Rd
Cincinnati, OH 45230-2356
Phone
(513) 246-7000
Fax
(513) 246-2876
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 51499 KY
Pediatrics Physician 208000000X 35139480 OH Primary

Addresses

Primary practice location

7810 5 Mile Rd
Cincinnati, OH 45230-2356

Mailing address

9905 Shelbyville Rd
Louisville, KY 40223-2907
Phone (502) 425-5166

Other practice location 1

9905 Shelbyville Rd
Louisville, KY 40223
Phone (502) 425-5166

Other identifiers 2

IdentifierTypeStateIssuer
2565399MedicaidOH
7100537840MedicaidKY

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
I20200710001273 OH Practitioner - Pediatric Medicine 3072936954 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51499KYMDPediatrics Physician
35139480OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Pediatrics CurrentSince Aug 3, 2020 Accepting new patients
Trihealth G, LLC CurrentSince Aug 3, 2020 Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients
DRS. Hinkebein, Davis & McCormick, PLLC Pediatrics PastSince Jul 12, 2020 Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

7810 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 232-1253

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

Interoperability endpoints

  • Direct secure messaging: dthompson242475@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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1639564800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232907",
            "telephone_number": "502-425-5166",
            "fax_number": "502-327-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302356",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9905 Shelbyville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40223",
            "country_code": "US",
            "telephone_number": "502-425-5166",
            "fax_number": "502-327-0526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DAVID",
        "middle_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "51499",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35139480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565399",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100537840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.