Individual provider Active NPI

Thomas Lundberg, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1750347233
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35063305L Issued in OH
Practice address
11340 Montgomery Road
Cincinnati, OH 45249
Phone
(513) 489-7457
Fax
(513) 247-2142
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35063305L OH Primary

Addresses

Primary practice location

11340 Montgomery Road
Cincinnati, OH 45249

Mailing address

11340 Montgomery Rd
Ste. 208
Cincinnati, OH 45249-2385
Phone (513) 489-7457

Other identifiers 1

IdentifierTypeStateIssuer
0920052MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlundberg1824@direct.thechristhospital.com Direct

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
I20080922000037 OH Practitioner - Internal Medicine 3577630300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

11340 Montgomery Rd
Suite 208
Cincinnati, OH 45249-2377
Phone (513) 489-7457

2123 Auburn Ave
Cincinnati, OH 45219-2906

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063305LOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Internal Medicine CurrentSince Mar 16, 2015 Accepting new patients

Locations

11340 Montgomery Rd
Ste 208
Cincinnati, OH 45249
Phone (513) 489-7457

4631 Ridge Ave
#A
Cincinnati, OH 45209
Phone (513) 631-1268

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

11340 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 489-7457

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.

Hospital & facility affiliations 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1750347233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 MONTGOMERY RD",
            "address_2": "STE. 208",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492385",
            "telephone_number": "513-489-7457",
            "fax_number": "513-247-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 MONTGOMERY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45249",
            "telephone_number": "513-489-7457",
            "fax_number": "513-247-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35063305L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920052",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlundberg1824@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11340 Montgomery Road",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.