NPIMap

Individual provider Active NPI

Gretchen Olympia Serota, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1730199522
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
OH35067381 Issued in OH
Practice address
5948 Turpin Valley LN
Cincinnati, OH 45244-3863
Phone
(513) 474-9800
Fax
(513) 474-9805
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OH35067381 OH Primary

Addresses

Primary practice location

5948 Turpin Valley LN
Cincinnati, OH 45244-3863

Mailing address

PO Box 701830
Cincinnati, OH 45270-0001
Phone (513) 474-9800

Other identifiers 1

IdentifierTypeStateIssuer
0381546MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051013000008 OH Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5991720401 Practice locations: Cincinnati, OH
I20181002000731 KY Practitioner - Geriatric Medicine 5991720401 Practice locations: Covington, KY

Care Compare profile

Medicare Care Compare

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
OH35067381OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS - Goshen, Inc. Past Accepting new patients
The Laurels of Milford, LLC Past Accepting new patients
Gretchen Serota PastSince Sep 17, 2016 Accepting new patients
Seniors First Inc. Geriatric Medicine Past Accepting new patients
Wyoming Leasing Co, LLC Past Accepting new patients
Garden Park Health Care Center LLC Past Accepting new patients
CHS - Ohio Valley, Inc Past Accepting new patients
Edith Lane of Cincinnati LLC Past Accepting new patients
FHS Salem, Inc. PastSince Dec 1, 2018 Accepting new patients
Preserve Operating Co LLC Past Accepting new patients
S E M Haven, Inc. Past Accepting new patients
Clifton Care Center, Inc PastSince Feb 1, 2021 Accepting new patients
Gerimed, Inc Past Accepting new patients
MFF Mountain Crest, L.L.C. Past Accepting new patients
Hamilton Healthcare Associates, LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Terrace View GardensCincinnati, OH, CCN 366153 Skilled nursing facility Adp of the SNF Jun 1, 2018
Clifton Healthcare CenterCincinnati, OH, CCN 365304 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2021
Feb 1, 2021
Garden Park Care CenterCincinnati, OH, CCN 365529 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Apr 16, 2026
Residence at Salem WoodsCincinnati, OH, CCN 365480 Skilled nursing facility Adp of the SNF Dec 1, 2018
Brookside Healthcare CenterCincinnati, OH, CCN 365925 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2021
Jun 5, 2025
Seven Acres Senior Living at CliftonCincinnati, OH, CCN 366316 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
Mar 1, 2023
Christian Village HospiceMason, OH, CCN 361732 Hospice Contracted Managing Employee Dec 5, 2022

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1730199522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701830",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452700001",
            "telephone_number": "513-474-9800",
            "fax_number": "513-474-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 TURPIN VALLEY LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443863",
            "telephone_number": "513-474-9800",
            "fax_number": "513-474-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEROTA",
        "first_name": "GRETCHEN",
        "middle_name": "OLYMPIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "OH35067381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0381546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.