NPIMap

Individual provider Active NPI

Zeeshan Khalick Tayeb, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cincinnati, OH
National Provider Identifier
1659537785
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
35-088518 Issued in OH
Practice address
3328 Westbourne Dr
Cincinnati, OH 45248-5133
Phone
(513) 624-7246
Fax
(513) 624-6900
NPI assigned
Jul 29, 2008
Last updated
Jun 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 35-088518 OH Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 44151 KY

Addresses

Primary practice location

3328 Westbourne Dr
Cincinnati, OH 45248-5133

Mailing address

3328 Westbourne Dr
Cincinnati, OH 45248-5133
Phone (513) 922-2204

Other identifiers 3

IdentifierTypeStateIssuer
200982410MedicaidIN
3004493MedicaidOH
7100103970MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091222000001 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1951479369 Reassigns benefits to 2 organizations
I20110520000332 KY Practitioner - Physical Medicine and Rehabilitation 1951479369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wright State University Boonshoft School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Specialists of Cincinnati LLCGroup PAC ID 3870809023, 6 clinicians
Regenlife CenterGroup PAC ID 4385179142, 10 clinicians

Practice addresses (Care Compare)

162 Barnwood Dr
Edgewood, KY 41017-2501
Phone (859) 331-4159

3328 Westbourne Dr
Cincinnati, OH 45248-5133
Phone (513) 922-2204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
54.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44151KYMDPain Medicine (Physical Medicine & Rehabilitation) Physician
35-088518OHMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenlife Center CurrentSince Oct 4, 2024 Accepting new patients
Active Life Chiropractic Health Center PC Past Accepting new patients
Major Hospital Past Accepting new patients
Ut Center for Pain Management and Research, Inc PastSince Jul 1, 2008 Accepting new patients

Locations

162 Barnwood Dr
Edgewood, KY 41017
Phone (859) 331-4159

3328 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 922-1599

9989 Montgomery Rd
Montgomery, OH 45242

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

Hospital & facility affiliations 9

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1659537785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 WESTBOURNE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485133",
            "telephone_number": "513-922-2204",
            "fax_number": "513-922-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 WESTBOURNE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485133",
            "telephone_number": "513-624-7246",
            "fax_number": "513-624-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYEB",
        "first_name": "ZEESHAN",
        "middle_name": "KHALICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35-088518",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "KY",
            "license": "44151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200982410",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004493",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100103970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.