Individual provider Active NPI

Douglas A Magenheim, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1871574780
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35058585 Issued in OH
Practice address
9050 Montgomery Road
Suite B
Cincinnati, OH 45242-7712
Phone
(513) 631-6963
Fax
(513) 631-1970
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35058585M OH
Internal Medicine Physician 207R00000X 35058585 OH Primary

Addresses

Primary practice location

9050 Montgomery Road
Suite B
Cincinnati, OH 45242-7712

Mailing address

9050 Montgomery Rd
Suite B
Cincinnati, OH 45242-7740
Phone (513) 631-6963

Other identifiers 1

IdentifierTypeStateIssuer
0824764MedicaidOH

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
I20100428000973 OH Practitioner - Internal Medicine 5799752770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians
My Doctor, LLCGroup PAC ID 0749257707, 4 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

7567 Central Parke Blvd
A
Mason, OH 45040-6852

9050 Montgomery Rd
Suite B
Cincinnati, OH 45242-7747
Phone (513) 631-6963

Hospital & facility affiliations

  • Buckeye Home Healthcare of Cincinnati LLC Home health agency, Blue Ash, OH, CCN 369151
  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058585MOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Doctor, LLC Internal Medicine CurrentSince Mar 1, 2003 Accepting new patients

Locations

9050 Montgomery Rd
#B
Cincinnati, OH 45242

9050 Montgomery Rd
Ste B
Cincinnati, OH 45242
Phone (513) 631-6963

Interoperability endpoints

  • Direct secure messaging: douglas.magenheim.1@1702.direct.athenahealth.com

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 12

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1871574780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 MONTGOMERY RD",
            "address_2": "SUITE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427740",
            "telephone_number": "513-631-6963",
            "fax_number": "513-631-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 MONTGOMERY ROAD",
            "address_2": "SUITE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427712",
            "telephone_number": "513-631-6963",
            "fax_number": "513-631-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGENHEIM",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058585M",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0824764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.