Active NPI
Katherine Mary Manocchio, PA
- Physician Assistant
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.004016RX
- Practice address
- 3131 Queen City Ave
Cincinnati, OH 45238-2316 - Phone
- (513) 389-5000
- Fax
- (937) 619-4150
- NPI assigned
- Apr 4, 2014
- Last updated
- May 5, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-004016 | OH | |
| Physician Assistant | 363A00000X | 50.004016RX | OH | Primary |
Addresses
Primary practice location
3131 Queen City Ave
Cincinnati, OH 45238-2316
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 W 1St St
Springfield, OH 45504-1920
Phone (937) 322-6222
4164 Burbank Rd
Wooster, OH 44691-9077
Phone (330) 345-8032
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.04 of 100
- Quality
- 85.63
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-004016 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients |
Locations
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630
1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066
Interoperability endpoints
- kmanocchio28285@ehrdirect.uhhospitals.org
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.
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1114957123
-
- Urgent Care Clinic/Center
- Parma, OH
- NPI 1770993453
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Emergency Medicine Physician
- Mount Vernon, OH
- NPI 1861450066
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1881164010
-
- Emergency Medicine Physician
- Beachwood, OH
- NPI 1467883934
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Hospitals Samaritan Medical Center
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1679991731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 QUEEN CITY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382316",
"telephone_number": "513-389-5000",
"fax_number": "937-619-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOCCHIO",
"first_name": "KATHERINE",
"middle_name": "MARY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-004016",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004016RX",
"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 May 5, 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.