Individual provider Active NPI

Daniel Lewis Wannemacher, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1831492370
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35 125899 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 584-2146
NPI assigned
Dec 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.017894 OH
Diagnostic Radiology Physician 2085R0202X 35 125899 OH Primary

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 584-2146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, VA3 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
I20160701001544 OH Practitioner - Diagnostic Radiology 1153569702 Reassigns benefits to 3 organizations
I20170228000668 KY Practitioner - Diagnostic Radiology 1153569702 Reassigns benefits to 1 organization
I20250717000808 VA Practitioner - Diagnostic Radiology 1153569702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristate Img (Imaging Medical Group) IncGroup PAC ID 6204732365, 45 clinicians
Town Center Imaging 2 LLCGroup PAC ID 2860910171, 21 clinicians
Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians
Professional Radiology IncGroup PAC ID 0941298764, 41 clinicians

Practice addresses (Care Compare)

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 865-1331

4677 Columbus St
Suite 101
Virginia Beach, VA 23462-6746
Phone (757) 943-3660

4805 Montgomery Rd
Suite 150
Cincinnati, OH 45212-2280
Phone (513) 961-4700

60 Mercy CT
Irvine, KY 40336-1331
Phone (606) 723-2115

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6252
Phone (513) 872-4500

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.017894OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Apr 23, 2018 Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Town Center Imaging 2 LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Tristate Img (Imaging Medical Group) Inc CurrentSince Oct 1, 2024 Accepting new patients
Riverhills Healthcare, Inc. Past Accepting new patients

Locations

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

4805 Montgomery Rd
Ste 150
Cincinnati, OH 45212
Phone (513) 241-2370

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

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

4805 Montgomery Rd
Ste 410
Cincinnati, OH 45212
Phone (513) 241-2370

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

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

4677 Columbus St
Ste 101
Virginia Beach, VA 23462
Phone (757) 943-3660

Interoperability endpoints

  • Direct secure messaging: dwannemacher638225@direct.bsmhealth.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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.

Hospital & facility affiliations 9

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1831492370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNEMACHER",
        "first_name": "DANIEL",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.017894",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35 125899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.