Active NPI
Andrew Wei Petersen, MD
- Internal Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.128058
- Practice address
- 375 Dixmyth Ave
Cincinnati, OH 45220-2475 - Phone
- (513) 862-3452
- Fax
- (513) 862-3421
- NPI assigned
- Apr 4, 2013
- Last updated
- Mar 19, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.022573 | OH | |
| Hospitalist Physician | 208M00000X | 35.128058 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 35.128058 | OH | Primary |
Addresses
Primary practice location
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Mailing address
4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 853-4722
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Cincinnati College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.022573 | OH | MD | Internal Medicine Physician |
| 35.128058 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Trihealth H LLC | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Internal Medicine | Current | Accepting new patients |
| The Good Samaritan Hospital of Cincinnati, Ohio | Past | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Fl 3
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- apetersen146737@direct.trihealth.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Chillicothe, OH
- NPI 1861038069
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba GEROS Physician Extenders
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1649513078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397",
"telephone_number": "513-853-4722",
"fax_number": "513-852-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-862-3452",
"fax_number": "513-862-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "ANDREW",
"middle_name": "WEI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.022573",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.128058",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.128058",
"primary": true
}
],
"identifiers": [],
"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 Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.