NPIMap

Individual provider Active NPI

Alicia A Bachus, MD

  • Family Medicine Physician
  • Mason, OH
National Provider Identifier
1841487535
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.123771 Issued in OH
Practice address
7423 S Mason Montgomery Rd Ste B
Mason, OH 45040-7828
Phone
(513) 398-3445
NPI assigned
Sep 27, 2007
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A95201 CA
Family Medicine Physician 207Q00000X 35.123771 OH Primary

Addresses

Primary practice location

7423 S Mason Montgomery Rd Ste B
Mason, OH 45040-7828

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 853-4722

Other identifiers 1

IdentifierTypeStateIssuer
0111259MedicaidOH

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
I20141118001438 OH Practitioner - Family Practice 2062594831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

7423 S Mason Montgomery Rd
Suite B
Mason, OH 45040-7828
Phone (513) 398-3445

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95201CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince May 1, 2019 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients

Locations

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

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

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

7423 S Mason Montgomery Rd
Ste B
Mason, OH 45040
Phone (513) 398-3445

Interoperability endpoints

  • Direct secure messaging: abachus290175@direct.trihealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1841487535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-853-4722",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 S MASON MONTGOMERY RD STE B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407828",
            "telephone_number": "513-398-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHUS",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95201",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.123771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.