NPIMap

Individual provider Active NPI

Nisar Haq, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1841250024
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35072060 Issued in OH
Practice address
2450 Kipling Ave
Ste G11
Cincinnati, OH 45239-6600
Phone
(513) 981-4180
Fax
(513) 853-5600
NPI assigned
Mar 23, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35072060 OH Primary

Addresses

Primary practice location

2450 Kipling Ave
Ste G11
Cincinnati, OH 45239-6600

Mailing address

6540 Winton Rd
Ste G11
Cincinnati, OH 45224-1391
Phone (513) 981-4180

Other identifiers 1

IdentifierTypeStateIssuer
2053110MedicaidOH

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
I20060710000173 OH Practitioner - Internal Medicine 7416960612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone (513) 583-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072060OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Nov 13, 2006 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Nov 13, 2006 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

2450 Kipling Ave
#G11
Cincinnati, OH 45239
Phone (513) 981-4180

6540 Winton Rd
Cincinnati, OH 45224
Phone (513) 981-4180

6540 Winton Rd
Ste G11
Cincinnati, OH 45224

Organizations & group practices 2

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.

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1841250024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 WINTON RD",
            "address_2": "STE G11",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241391",
            "telephone_number": "513-981-4180",
            "fax_number": "513-853-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 KIPLING AVE",
            "address_2": "STE G11",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396600",
            "telephone_number": "513-981-4180",
            "fax_number": "513-853-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "NISAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.