NPIMap

Individual provider Active NPI

Prudence Tante-Takougang, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1871524082
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35082744 Issued in OH
Practice address
6350 Glenway Ave
Suite 400
Cincinnati, OH 45211-6378
Phone
(513) 481-3400
Fax
(513) 481-9901
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35082744 OH Primary

Addresses

Primary practice location

6350 Glenway Ave
Suite 400
Cincinnati, OH 45211-6378

Mailing address

6350 Glenway Ave
Suite 400
Cincinnati, OH 45211-6378
Phone (513) 481-3400

Other identifiers 1

IdentifierTypeStateIssuer
2466675MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000283 OH Practitioner - Internal Medicine 5698724623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

6949 Good Samaritan Dr
FL 2
Cincinnati, OH 45247-5204
Phone (513) 931-2400

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082744OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jul 1, 2016 Accepting new patients
Trihealth Physician Institute Internal Medicine Past Accepting new patients
Trihealth Q LLC Internal Medicine Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

463 Ohio Pike
Ste 300
Cincinnati, OH 45255
Phone (513) 528-5688

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

6350 Glenway Ave
Ste 400
Cincinnati, OH 45211
Phone (513) 246-8037

375 Dixmyth Ave
Fl 5
Cincinnati, OH 45220
Phone (513) 872-2440

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2753 Erie Ave
Cincinnati, OH 45208
Phone (513) 246-8000

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: ptante7620@direct.trihealth.com

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.

Hospital & facility affiliations 10

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1871524082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-481-3400",
            "fax_number": "513-481-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-481-3400",
            "fax_number": "513-481-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTE-TAKOUGANG",
        "first_name": "PRUDENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35082744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.