Active NPI
Matthew Cullen Broderick, M.D.
- Hospitalist Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.127068
- Practice address
- 10500 Montgomery Rd
Cincinnati, OH 45242-4402 - Phone
- (513) 865-2246
- Fax
- (513) 865-5596
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 35.127068 | OH | Primary |
Addresses
Primary practice location
10500 Montgomery Rd
Cincinnati, OH 45242-4402
Mailing address
4685 Forest Ave Ste C
Cincinnati, OH 45212-3359
Phone (513) 246-7914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35.127068 | Other | OH | OH MD LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Cincinnati College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
Hospital & facility affiliations
- Bethesda North
- Highland District Hospital
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G LLC | Hospitalist | Current | Accepting new patients |
| Margaret Mary Community Hospital, Inc | Current | Accepting new patients | |
| Trihealth H LLC | Hospitalist | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Bethesda Hospital Inc | Past | Accepting new patients |
Locations
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
Interoperability endpoints
- matthew.broderick@mmhealth.cernerdirect.com
- mbroderick227322@direct.trihealth.com
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Internal Medicine Physician
- Batesville, IN
- NPI 1316118730
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- Critical Access Hospital
- Hillsboro, OH
- NPI 1225053119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1649536558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE STE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123359",
"telephone_number": "513-246-7914",
"fax_number": "513-852-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424402",
"telephone_number": "513-865-2246",
"fax_number": "513-865-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODERICK",
"first_name": "MATTHEW",
"middle_name": "CULLEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.127068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MD LICENSE",
"identifier": "35.127068",
"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 23, 2017; 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.