Individual provider Active NPI

Craig A Eisentrout, MD

  • Pulmonary Disease Physician
  • Cincinnati, OH
National Provider Identifier
1801980164
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35049661 Issued in OH
Practice address
10496 Montgomery Road
Suite 103
Cincinnati, OH 45242-5220
Phone
(513) 793-2654
Fax
(513) 793-2962
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OH35049661 OH
Pulmonary Disease Physician 207RP1001X 35049661 OH Primary

Addresses

Primary practice location

10496 Montgomery Road
Suite 103
Cincinnati, OH 45242-5220

Mailing address

10496 Montgomery Road
Suite 103
Cincinnati, OH 45242-5220
Phone (513) 793-2654

Other identifiers 6

IdentifierTypeStateIssuer
000000009425OtherOHANTHEM
0676924MedicaidOH
0004271383OtherAETNA
4966103OtherOHHUMANA
4820113OtherUNITED HEALTHCARE
2900610OtherRAILROAD MEDICARE

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
I20101118000302 OH Practitioner - Pulmonary Disease 1456397223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Cincinnati College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

6949 Good Samaritan Dr
Cincinnati, OH 45247-5204

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

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
OH35049661OHMDCritical Care Medicine (Internal Medicine) Physician
35049661OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Pulmonary Disease CurrentSince Jan 1, 2016 Accepting new patients

Locations

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

10496 Montgomery Rd
Ste 103
Montgomery, OH 45242

Interoperability endpoints

  • Direct secure messaging: ceisentrout26134@direct.trihealth.com

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1801980164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10496 MONTGOMERY ROAD",
            "address_2": "SUITE 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425220",
            "telephone_number": "513-793-2654",
            "fax_number": "513-793-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10496 MONTGOMERY ROAD",
            "address_2": "SUITE 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425220",
            "telephone_number": "513-793-2654",
            "fax_number": "513-793-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENTROUT",
        "first_name": "CRAIG",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "OH35049661",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35049661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000009425",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0676924",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004271383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "4966103",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4820113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "2900610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.