Organization Active NPI

Harold Pretorius

  • Endocrinology, Diabetes & Metabolism Physician
  • Blue Ash, OH
National Provider Identifier
1700774692
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HAROLD PRETORIUS
Practice address
4743 Cornell Rd
Blue Ash, OH 45241-2432
Phone
(513) 561-3797
Fax
(513) 561-4043
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Nichole Bodnar
Title
Practice Manager
Phone
(513) 561-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

4743 Cornell Rd
Blue Ash, OH 45241-2432

Mailing address

4743 Cornell Rd
Blue Ash, OH 45241-2432
Phone (513) 561-3797

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0873872Harold T Pretorius MD4743 Cornell Road, Cincinnati, OH 45241Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

4743 Cornell Rd
Blue Ash, OH 45241
Phone (513) 561-3797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1700774692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 CORNELL RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412432",
            "telephone_number": "513-561-3797",
            "fax_number": "513-561-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 CORNELL RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412432",
            "telephone_number": "513-561-3797",
            "fax_number": "513-561-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD PRETORIUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "BODNAR",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-561-3797"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.