Individual provider Active NPI

Paul H Noh, MD

  • Pediatric Urology Physician
  • Cincinnati, OH
National Provider Identifier
1811089691
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
036152163 Issued in IL
Practice address
3333 Burnet Avenue
ML 5037
Cincinnati, OH 45229
Phone
(513) 636-4975
Fax
(513) 636-6753
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 35.090366 OH
Pediatric Urology Physician 2088P0231X 036152163 IL Primary
Urology Physician 208800000X 35.090366 OH

Addresses

Primary practice location

3333 Burnet Avenue
ML 5037
Cincinnati, OH 45229

Mailing address

3333 Burnet Avenue
ML 5037
Cincinnati, OH 45229
Phone (513) 636-4975

Other practice location 1

420 NE Glen Oak Ave Ste 201
Peoria, IL 61603-3112
Phone (309) 624-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150902001320 KY Practitioner - UrologyPractitioner - Pediatric Medicine 9032140520 Reassigns benefits to 1 organization
I20200401000425 IL Practitioner - Urology 9032140520 Reassigns benefits to 1 organization
I20220607002685 SD Practitioner - Urology 9032140520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152163ILMDPediatric Urology Physician
35.090366OHMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Urology CurrentSince Apr 20, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 1, 2020 Accepting new patients
Sanford Medical Center CurrentSince Apr 20, 2022 Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

420 NE Glen Oak Ave
Ste 201
Peoria, IL 61603
Phone (309) 655-3800

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Organizations & group practices 7

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1811089691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "ML 5037",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-4975",
            "fax_number": "513-636-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "ML 5037",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-4975",
            "fax_number": "513-636-6753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 NE Glen Oak Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033112",
            "country_code": "US",
            "telephone_number": "309-624-5100",
            "fax_number": "309-624-5569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOH",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "35.090366",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "IL",
            "license": "036152163",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.090366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.