Individual provider Active NPI

Joel L Korelitz, MD

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1861420135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35038515 Issued in OH
Practice address
4760 E Galbraith Rd
Suite 108
Cincinnati, OH 45236-6703
Phone
(513) 791-0707
Fax
(513) 936-3536
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35038515 OH Primary

Addresses

Primary practice location

4760 E Galbraith Rd
Suite 108
Cincinnati, OH 45236-6703

Mailing address

4760 E Galbraith Rd
Suite 108
Cincinnati, OH 45236-6703
Phone (513) 791-0707

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
I20140925002110 OH Practitioner - General Surgery 5991727232 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35038515OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 19, 2014 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Aug 19, 2014 Accepting new patients
Cincinnati General Surgeons, Inc. Past Accepting new patients

Locations

4777 E Galbraith Rd
Ste 202
Cincinnati, OH 45236
Phone (513) 686-5757

4760 E Galbraith Rd
Ste 108
Cincinnati, OH 45236
Phone (513) 791-0707

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

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861420135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD",
            "address_2": "SUITE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366703",
            "telephone_number": "513-791-0707",
            "fax_number": "513-936-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD",
            "address_2": "SUITE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366703",
            "telephone_number": "513-791-0707",
            "fax_number": "513-936-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORELITZ",
        "first_name": "JOEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35038515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.