Individual provider Active NPI

Elissa Whittenburg, MD

  • Internal Medicine Physician
  • Lebanon, OH
National Provider Identifier
1770526204
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35075467 Issued in OH
Practice address
2460 Greentree Rd Ste D
Lebanon, OH 45036-9604
Phone
(314) 888-5233
Fax
(513) 880-0676
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 35075467 OH Primary

Addresses

Primary practice location

2460 Greentree Rd Ste D
Lebanon, OH 45036-9604

Mailing address

726 E Main St Ste F
Lebanon, OH 45036-1900
Phone (314) 888-5233

Other practice location 1

1180 Newfield Ave
Stamford, CT 06905-1409
Phone (314) 888-5233 ext. 1335

Other practice location 2

7700 University Dr
West Chester, OH 45069-2505
Phone (513) 298-7325

Other identifiers 3

IdentifierTypeStateIssuer
201052320MedicaidIN
7100198050MedicaidKY
2589337MedicaidOH

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
I20050404000746 OH Practitioner - HospitalistPractitioner - Emergency MedicinePractitioner - Internal Medicine 0244142925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Catholic Doctor PLLCGroup PAC ID 7214367101, 25 clinicians

Practice addresses (Care Compare)

10002 Gatewood Dr
Brecksville, OH 44141-3615
Phone (314) 888-5233

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Catholic Doctor, P.L.L.C. CurrentSince Dec 1, 2025 Accepting new patients
University of Cincinnati Physicians Company, LLC Internal Medicine CurrentSince Dec 1, 2011 Accepting new patients
Elissa Whittenburg MD PA PastSince Dec 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Internal Medicine Past Accepting new patients
Concertohealth of Ohio LLC Past Accepting new patients

Locations

1180 Newfield Ave
Stamford, CT 06905
Phone 3148885233 ext. 1062

3200 Burnet Ave
#3S
Cincinnati, OH 45229

70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

Interoperability endpoints

  • Direct secure messaging: ewhittenburg28331@direct.uchealth.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Heartland Hospice (Cincinnati)Cincinnati, OH, CCN 361560 Hospice Contracted Managing Employee Apr 30, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1770526204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 E MAIN ST STE F",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361900",
            "telephone_number": "314-888-5233",
            "fax_number": "513-880-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 GREENTREE RD STE D",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369604",
            "telephone_number": "314-888-5233",
            "fax_number": "513-880-0676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Newfield Ave",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051409",
            "country_code": "US",
            "telephone_number": "314-888-5233 x1335",
            "fax_number": "513-880-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 University Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692505",
            "country_code": "US",
            "telephone_number": "513-298-7325",
            "fax_number": "513-298-7406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTENBURG",
        "first_name": "ELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35075467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201052320",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198050",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2589337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.