NPIMap

Individual provider Active NPI

Christina Alise Mikhail, PA-C

  • Surgical Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1730514100
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.005058RX Issued in OH
Practice address
3333 Burnet Ave
MLC 2016
Cincinnati, OH 45229-3026
Phone
(513) 636-4726
Fax
(513) 636-2808
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TC220 KY
Surgical Physician Assistant 363AS0400X 50.005058RX OH Primary

Addresses

Primary practice location

3333 Burnet Ave
MLC 2016
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave
MLC 2016
Cincinnati, OH 45229-3026
Phone (513) 636-4726

Other names 1

  • Christina Alise Jackson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418000172 OH Practitioner - Physician Assistant 8921321688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone (513) 841-7800

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
83.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC220KYMDMedical Physician Assistant
50.005058RXOHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc Medical Current Accepting new patients
Children'S Hospital Medical Center CurrentSince May 11, 2017 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Dec 19, 2023 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Dec 19, 2023 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#2016
Cincinnati, OH 45229
Phone (513) 636-4726

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Interoperability endpoints

  • Direct secure messaging: christinamikhail@tsus.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1730514100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "MLC 2016",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4726",
            "fax_number": "513-636-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "MLC 2016",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4726",
            "fax_number": "513-636-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "CHRISTINA",
        "middle_name": "ALISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC220",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.005058RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "JACKSON",
            "middle_name": "ALISE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.