Individual provider Active NPI

Tiffani Ann Jepson, M.D.

  • Family Medicine Physician
  • Liberty Township, OH
National Provider Identifier
1861621609
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.099681 Issued in OH
Practice address
6770 Cincinnati Dayton Rd
Liberty Township, OH 45044-9318
Phone
(513) 771-7213
Fax
(513) 981-4163
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.099681 OH Primary

Addresses

Primary practice location

6770 Cincinnati Dayton Rd
Liberty Township, OH 45044-9318

Mailing address

6770 Cincinnati Dayton Rd
Liberty Township, OH 45044-9318
Phone (513) 771-7213

Other names 1

  • Dr. Tiffani Ann Shippe Former name

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
I20120821000991 OH Practitioner - Family Practice 1557518875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

6770 Cincinnati Dayton Rd
Liberty Township, OH 45044-9319
Phone (513) 896-9595

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.099681OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Aug 20, 2012 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 20, 2012 Accepting new patients

Locations

4600 McAuley Pl
#5047
Blue Ash, OH 45242
Phone (513) 981-4684

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

6770 Cincinnati Dayton Rd
Ste 105
Liberty Township, OH 45044
Phone (513) 559-7025

6770 Cincinnati Dayton Rd
Liberty Township, OH 45044
Phone (513) 276-4981

6770 Cincinnati Dayton Rd
Ste 100
Liberty Township, OH 45044
Phone (513) 221-3800

Interoperability endpoints

  • Direct secure messaging: tjepson58136@direct.bsmhealth.org

Organizations & group practices 3

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 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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1861621609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 CINCINNATI DAYTON RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449318",
            "telephone_number": "513-771-7213",
            "fax_number": "513-981-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 CINCINNATI DAYTON RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449318",
            "telephone_number": "513-771-7213",
            "fax_number": "513-981-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSON",
        "first_name": "TIFFANI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.099681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "SHIPPE",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.