Individual provider Active NPI

Daniel Cajacob, MD

  • Otolaryngology Physician
  • Cincinnati, OH
National Provider Identifier
1730126996
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35053464 Issued in OH
Practice address
379 Dixmyth Ave
Cincinnati, OH 45220
Phone
(513) 246-7000
Fax
(513) 246-7590
NPI assigned
May 31, 2006
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35053464 OH Primary

Addresses

Primary practice location

379 Dixmyth Ave
Cincinnati, OH 45220

Mailing address

4685 Forest Ave Ste C
Cincinnati, OH 45212-3359
Phone (513) 246-7796

Other identifiers 1

IdentifierTypeStateIssuer
0649874MedicaidOH

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
I20050607000745 OH Practitioner - Otolaryngology 1951344381 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35053464OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jul 1, 2005 Accepting new patients
Trihealth G LLC CurrentSince Jul 1, 2005 Accepting new patients

Locations

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

2915 Clifton Ave
Cincinnati, OH 45220
Phone (513) 872-2000

379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400

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

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

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1730126996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123359",
            "telephone_number": "513-246-7796",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45220",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJACOB",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35053464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0649874",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.