NPIMap

Individual provider Active NPI

Nickolas A Minnie, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, OH
National Provider Identifier
1811970650
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002464M Issued in OH
Practice address
3035 Hamilton Mason Rd
Suite 105
Hamilton, OH 45011
Phone
(513) 844-8585
Fax
(513) 844-8769
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36002464M OH Primary

Addresses

Primary practice location

3035 Hamilton Mason Rd
Suite 105
Hamilton, OH 45011

Mailing address

9400 S Cicero Ave Ste 100
Oak Lawn, IL 60453-2536
Phone (708) 424-3201

Other practice location 1

5300 Socialville Foster Rd Ste 160
Mason, OH 45040-9429
Phone (513) 844-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000006 OH Practitioner - Podiatry 3577551688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates of OhioGroup PAC ID 4486023132, 16 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

3035 Hamilton Mason Rd
Suite 105
Fairfield Township, OH 45011-5545
Phone (513) 844-8585

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue118
Removal of skin lesions247
Removal of nail tissue1185
Removal or shaving of skin growth199
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002464MOHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates LLC Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
Podiatry Associates of Ohio Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Foot & Ankle Associates LLC Foot & Ankle Surgery Current Accepting new patients
Podiatry Associates of Ohio CurrentSince Jan 1, 2023 Accepting new patients
Centers for Foot & Ankle Care LLC Foot & Ankle Surgery Past Accepting new patients

Locations

4650 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-3202

9400 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (816) 673-3522

32743 23 Mile Rd
Ste 210
Chesterfield, MI 48047

1113 Fehl Ln
Cincinnati, OH 45230

11560 Springfield Pike
Cincinnati, OH 45246
Phone (513) 618-9251

5315 Delhi Rd
Cincinnati, OH 45238
Phone (513) 251-4753

3035 Hamilton Mason Rd
Ste 105
Fairfield Township, OH 45011
Phone (513) 844-8585

5300 Socialville Foster Rd
Ste 160
Mason, OH 45040
Phone (513) 844-8585

Interoperability endpoints

  • Direct secure messaging: nickolas.minnie@cffaacl-oh.direct.office.nextgen.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 2

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1811970650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S CICERO AVE STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532536",
            "telephone_number": "708-424-3201",
            "fax_number": "708-424-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD",
            "address_2": "SUITE 105",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "513-844-8585",
            "fax_number": "513-844-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Socialville Foster Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450409429",
            "country_code": "US",
            "telephone_number": "513-844-8585",
            "fax_number": "513-844-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNIE",
        "first_name": "NICKOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002464M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.