Individual provider Active NPI

Ted A Kleimeyer, MD

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1649217688
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35045383 Issued in OH
Practice address
4983 Delhi Ave
Suite 6
Cincinnati, OH 45238-5380
Phone
(513) 347-7237
Fax
(513) 347-6567
NPI assigned
May 31, 2006
Last updated
May 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35045383 OH Primary

Addresses

Primary practice location

4983 Delhi Ave
Suite 6
Cincinnati, OH 45238-5380

Mailing address

PO Box 636298
Cincinnati, OH 45263-6298
Phone (513) 347-7237

Other identifiers 3

IdentifierTypeStateIssuer
200067080MedicaidIN
64865074MedicaidKY
0485765MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
35045383OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverhills Healthcare Inc Diagnostic Radiology Past Accepting new patients
Millennium Radiology Inc Diagnostic Radiology PastSince Feb 1, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1649217688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636298",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636298",
            "telephone_number": "513-347-7237",
            "fax_number": "513-347-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4983 DELHI AVE",
            "address_2": "SUITE 6",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385380",
            "telephone_number": "513-347-7237",
            "fax_number": "513-347-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMEYER",
        "first_name": "TED",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35045383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200067080",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64865074",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485765",
            "state": "OH"
        }
    ],
    "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 May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.