Individual provider Active NPI

Marianna C. Vardaka, MD

  • Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1710089842
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35058759V Issued in OH
Practice address
10495 Montgomery Rd
Suite 16
Cincinnati, OH 45242
Phone
(513) 985-9017
Fax
(513) 985-9036
NPI assigned
Sep 1, 2006
Last updated
May 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-058759 OH
Gynecology Physician 207VG0400X 35058759V OH Primary

Addresses

Primary practice location

10495 Montgomery Rd
Suite 16
Cincinnati, OH 45242

Mailing address

10495 Montgomery Rd
Suite 16
Cincinnati, OH 45242
Phone (513) 985-9017

Other identifiers 1

IdentifierTypeStateIssuer
0111417MedicaidOH

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
I20080219000072 OH Practitioner - Obstetrics/Gynecology 7719060458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

10506 Montgomery Rd
Montgomery, OH 45242-4400

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-058759OHMDObstetrics & Gynecology Physician
35058759VOHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Trihealth Physician Institute Obstetrics & Gynecology Past Accepting new patients
Trihealth W LLC Obstetrics & Gynecology Past Accepting new patients
Bethesda Hospital Inc Past Accepting new patients
Bethesda Hospital Inc Obstetrics & Gynecology Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4030 Smith Rd
Ste 425
Cincinnati, OH 45209
Phone (513) 731-1550

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

9030 Montgomery Rd
Cincinnati, OH 45242
Phone (513) 505-6800

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

10495 Montgomery Rd
Ste 16
Montgomery, OH 45242
Phone (513) 985-9017

10498 Montgomery Rd
#D
Montgomery, OH 45242
Phone (513) 865-1639

10506 Montgomery Rd
Ste 204
Montgomery, OH 45242
Phone (513) 792-5810

7759 University Dr
Ste D
West Chester, OH 45069
Phone (513) 463-4300

Interoperability endpoints

  • Direct secure messaging: mvardaka4488@direct.trihealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1710089842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD",
            "address_2": "SUITE 16",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-985-9017",
            "fax_number": "513-985-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD",
            "address_2": "SUITE 16",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-985-9017",
            "fax_number": "513-985-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDAKA",
        "first_name": "MARIANNA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-058759",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35058759V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.