Individual provider Active NPI

Michael B Rousseau, MD

  • Urology Physician
  • Cincinnati, OH
National Provider Identifier
1851328660
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35-06-4460 Issued in OH
Practice address
4360 Ferguson Dr Ste 100
Cincinnati, OH 45245-1683
Phone
(513) 841-7750
Fax
(513) 841-7751
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35-06-4460 OH Primary

Addresses

Primary practice location

4360 Ferguson Dr Ste 100
Cincinnati, OH 45245-1683

Mailing address

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

Other identifiers 3

IdentifierTypeStateIssuer
340011132OtherOHRAILROAD MEDICARE
0901073MedicaidOH
64955214MedicaidKY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031119000319 OH Practitioner - Urology 9032023346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone (513) 841-7800

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

2123 Auburn Ave
Suite 434
Cincinnati, OH 45219-2906
Phone (513) 841-7474

3301 Mercy Health Blvd
Suite 525
Cincinnati, OH 45211-1118
Phone (513) 841-7700

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

925 Deis Dr
Fairfield, OH 45014-8130
Phone (513) 841-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
83.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Jan 1, 2004 Accepting new patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Jan 1, 2004 Accepting new patients

Locations

3020 Hospital Dr
Ste 100
Batavia, OH 45103
Phone (513) 323-1166

3020 Hospital Dr
Ste 200
Batavia, OH 45103
Phone (513) 732-0994

4420 Aicholtz Rd
Ste 120
Cincinnati, OH 45245
Phone (513) 732-6200

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

4360 Ferguson Dr
Cincinnati, OH 45245
Phone (513) 752-0113

10496 Montgomery Rd
Ste 203
Montgomery, OH 45242
Phone (513) 863-8212

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Interoperability endpoints

  • Direct secure messaging: michaelrousseau@tsus.allscriptsdirect.net

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 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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1851328660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E SANKER BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121979",
            "telephone_number": "513-841-7400",
            "fax_number": "513-841-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 FERGUSON DR STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451683",
            "telephone_number": "513-841-7750",
            "fax_number": "513-841-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-06-4460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340011132",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0901073",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64955214",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.