Active NPI
Juanita R Gaines, MD
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1801826763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-047464
- Practice address
- 6045 Bridgetown Rd
Cincinnati, OH 45248-3049 - Phone
- (513) 981-4105
- Fax
- (513) 347-4620
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-047464 | OH | Primary |
Addresses
Primary practice location
6045 Bridgetown Rd
Cincinnati, OH 45248-3049
Mailing address
6045 Bridgetown Rd
Cincinnati, OH 45248-3049
Phone (513) 981-4105
Other practice location 1
2450 Kipling Ave
Suite 108
Cincinnati, OH 45239-6600
Phone (513) 853-5393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0495272 | Medicaid | OH | |
| P00919613 | Other | OH | MEDICARE RR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040204001086 | OH | Practitioner - Internal Medicine | 4284527102 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1701 Mercy Ctr PL
Cincinnati, OH 45237-6147
1701 Mercy Health PL
Cincinnati, OH 45237-6147
Hospital & facility affiliations
- Summit Orthopaedic Home Care
- Mercy Health - West Hospital
- Mercy Health - Fairfield Hospital
- The Jewish Hospital-Mercy Health
- Christ Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-047464 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri State Health Systems | Current | Accepting new patients |
Locations
Dept 1044
Cincinnati, OH 45263
Interoperability endpoints
- jgaines26427@direct.bsmhealth.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1578541546
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Blue Ash, OH
- NPI 1588029284
-
- Home Health Agency
- Grandview Heights, OH
- NPI 1861413999
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
-
- General Acute Care Hospital
- Fairfield, OH
- NPI 1467552471
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1801826763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6045 BRIDGETOWN RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452483049",
"telephone_number": "513-981-4105",
"fax_number": "513-347-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6045 BRIDGETOWN RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452483049",
"telephone_number": "513-981-4105",
"fax_number": "513-347-4620"
}
],
"practiceLocations": [
{
"address_1": "2450 Kipling Ave",
"address_2": "Suite 108",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452396600",
"country_code": "US",
"telephone_number": "513-853-5393",
"fax_number": "513-853-5394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAINES",
"first_name": "JUANITA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-047464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0495272",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00919613",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.