Individual provider Active NPI

David E Mouch, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1871594812
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-05-2629-M Issued in OH
Practice address
7631 Cheviot Rd
Cincinnati, OH 45247-4036
Phone
(513) 923-1886
Fax
(513) 923-2878
NPI assigned
Aug 1, 2005
Last updated
Nov 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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 35-05-2629-M OH Primary

Addresses

Primary practice location

7631 Cheviot Rd
Cincinnati, OH 45247-4036

Mailing address

7631 Cheviot Rd
Cincinnati, OH 45247-4036
Phone (513) 923-1886

Other identifiers 1

IdentifierTypeStateIssuer
0666533MedicaidOH

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
I20060220000137 OH Practitioner - Family Practice 3678588274 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Clinic Medical Services Company CurrentSince Jan 1, 2023 Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients

Locations

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

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

4685 Forest Ave
Ste A
Cincinnati, OH 45212
Phone (513) 579-8811

7631 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 923-1866

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1871594812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452474036",
            "telephone_number": "513-923-1886",
            "fax_number": "513-923-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452474036",
            "telephone_number": "513-923-1886",
            "fax_number": "513-923-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUCH",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-2629-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666533",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.