NPIMap

Individual provider Active NPI

Lisa Conrad Larkin, MD.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1679562839
Registry record updated Jan 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35061650L Issued in OH
Practice address
3908 Miami Rd
Cincinnati, OH 45227-3705
Phone
(513) 760-5511
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35061650L OH Primary

Addresses

Primary practice location

3908 Miami Rd
Cincinnati, OH 45227-3705

Mailing address

3908 Miami Rd
Cincinnati, OH 45227-3705
Phone (513) 760-5511

Other identifiers 1

IdentifierTypeStateIssuer
841834MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061650LOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Larkin, MD,LLC Internal Medicine PastSince Aug 1, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25807/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisa.larkin.1@25807.direct.athenahealth.com
  • Direct secure messaging: lisa.larkin.1@29458.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485648000000",
    "number": "1679562839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 MIAMI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273705",
            "telephone_number": "513-760-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 MIAMI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273705",
            "telephone_number": "513-760-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "LISA",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2017-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35061650L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841834",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.