Individual provider Active NPI

Samantha Dimeo, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1841840071
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024769 Issued in OH
Practice address
4805 Montgomery Rd Ste 410
Cincinnati, OH 45212
Phone
(513) 961-5558
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 024769 OH
Family Nurse Practitioner 363LF0000X 024769 OH Primary

Addresses

Primary practice location

4805 Montgomery Rd Ste 410
Cincinnati, OH 45212

Mailing address

4805 Montgomery Rd Ste 150
Cincinnati, OH 45212-2280
Phone (513) 961-5558

Other practice location 1

7661 Beechmont Ave Ste 130
Cincinnati, OH 45255-4234
Phone (513) 241-2370

Other practice location 2

3310 Mercy Health Blvd Ste 230
Cincinnati, OH 45211-1120
Phone (513) 241-2370

Other identifiers 3

IdentifierTypeStateIssuer
7100628290MedicaidKY
0371527MedicaidOH
300034365MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200109001907 OH Practitioner - Nurse Practitioner 4688009160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

4805 Montgomery Rd
Suite 410
Cincinnati, OH 45212-2198
Phone (513) 241-2370

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Jan 14, 2023 Accepting new patients
Riverhills Healthcare Inc Nurse Practitioner CurrentSince Oct 19, 2019 Accepting new patients
Riverhills Healthcare, Inc. Nurse Practitioner PastSince Sep 25, 2019 Accepting new patients

Locations

7661 Beechmont Ave
Ste 130
Cincinnati, OH 45255
Phone (513) 241-2370

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

9755 Colerain Ave
Cincinnati, OH 45251
Phone (513) 530-0567

3310 Mercy Health Blvd
Ste 230
Cincinnati, OH 45211
Phone (513) 451-6200

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

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822
  • Direct secure messaging: sdimeo@rhi.gwaydirect.com

Organizations & group practices 4

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 8

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1841840071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122280",
            "telephone_number": "513-961-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 410",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45212",
            "telephone_number": "513-961-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7661 Beechmont Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452554234",
            "country_code": "US",
            "telephone_number": "513-241-2370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3310 Mercy Health Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452111120",
            "country_code": "US",
            "telephone_number": "513-241-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMEO",
        "first_name": "SAMANTHA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "024769",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100628290",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371527",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034365",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.