Individual provider Active NPI

Charles Christopher Cardone, M.D.

  • Anesthesiology Physician
  • Cincinnati, OH
National Provider Identifier
1861490625
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35060780 Issued in OH
Practice address
3789 Country Club PL
Cincinnati, OH 45208-1905
Phone
(513) 321-2060
Fax
(886) 425-6072
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35060780 OH Primary

Addresses

Primary practice location

3789 Country Club PL
Cincinnati, OH 45208-1905

Mailing address

3789 Country Club PL
Cincinnati, OH 45208-1905
Phone (513) 321-2060

Other identifiers 1

IdentifierTypeStateIssuer
0941173MedicaidOH

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
I20040427000773 OH Practitioner - Anesthesiology 0648267286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Anesthesia Associates, IncGroup PAC ID 0648170365, 54 clinicians

Practice addresses (Care Compare)

2210 Arbor Blvd
Suite 1a
Moraine, OH 45439-1512
Phone (615) 397-9187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35060780OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Dec 30, 2018 Accepting new patients
Scod Anesthesia, LLC Anesthesiology CurrentSince Jun 12, 2025 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Children'S Medical Services, Inc Past Accepting new patients
Obstetric Anesthesia Associates Inc. Anesthesiology Past Accepting new patients
Universtiy Anesthesia Assoc., Inc. Anesthesiology Past Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

L6147
Cincinnati, OH 45270

4415 Aicholtz Rd
Cincinnati, OH 45245
Phone (513) 732-9300

8250 Kenwood Crossing Way
Ste 102
Cincinnati, OH 45236
Phone (513) 791-5548

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

1 Elizabeth Pl
Fl 4
Dayton, OH 45417
Phone (513) 773-3455

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

Organizations & group practices 8

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1861490625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3789 COUNTRY CLUB PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081905",
            "telephone_number": "513-321-2060",
            "fax_number": "886-425-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3789 COUNTRY CLUB PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081905",
            "telephone_number": "513-321-2060",
            "fax_number": "886-425-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONE",
        "first_name": "CHARLES",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35060780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0941173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.