Active NPI
Michael Cholera, DO
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1699844704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34004374
- Practice address
- 3860 Race Rd
Suite 204
Cincinnati, OH 45211-4306 - Phone
- (877) 845-7197
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34004374 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 02229 | KY |
Addresses
Primary practice location
3860 Race Rd
Suite 204
Cincinnati, OH 45211-4306
Mailing address
919 Squire Valley Dr
Villa Hills, KY 41017-1479
Phone (513) 254-5348
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31177376900 | Other | OH | WKERS COMP |
| 000000197447 | Other | OH | ANTHEM |
| 64008170 | Medicaid | KY | |
| 0734281 | Medicaid | OH | |
| 311773769-001 | Other | OH | MEDICAL MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004374 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1699844704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 SQUIRE VALLEY DR",
"city": "VILLA HILLS",
"state": "KY",
"postal_code": "410171479",
"telephone_number": "513-254-5348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 RACE RD",
"address_2": "SUITE 204",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452114306",
"telephone_number": "877-845-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOLERA",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34004374",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "02229",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WKERS COMP",
"identifier": "31177376900",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000197447",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64008170",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0734281",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "311773769-001",
"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 Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.