Individual provider Active NPI

Samuel Del Mauro, D.O.

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1700880317
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
004305 Issued in OH
Practice address
11111 Montgomery Rd
Cincinnati, OH 45249-2391
Phone
(513) 605-4800
Fax
(513) 605-4805
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 004305 OH Primary

Addresses

Primary practice location

11111 Montgomery Rd
Cincinnati, OH 45249-2391

Mailing address

11111 Montgomery Rd
Cincinnati, OH 45249-2391
Phone (513) 605-4800

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000048 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 8527077759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004305OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Physicians Group LLC CurrentSince Feb 1, 2018 Accepting new patients
Clinton County Outpatient Surgery, Inc. Current Accepting new patients

Locations

11111 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 605-4800

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

Interoperability endpoints

  • Direct secure messaging: sadelmau@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1700880317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492391",
            "telephone_number": "513-605-4800",
            "fax_number": "513-605-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492391",
            "telephone_number": "513-605-4800",
            "fax_number": "513-605-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL MAURO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "004305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.