Individual provider Active NPI

John D. Kerbo, D.O.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1881637460
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006135 Issued in OH
Practice address
4130 Dry Ridge Rd
Cincinnati, OH 45252-1914
Phone
(513) 981-5162
Fax
(513) 923-5522
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 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 34006135 OH Primary

Addresses

Primary practice location

4130 Dry Ridge Rd
Cincinnati, OH 45252-1914

Mailing address

4130 Dry Ridge Rd
Cincinnati, OH 45252-1914
Phone (513) 981-5162

Other identifiers 1

IdentifierTypeStateIssuer
0246915MedicaidOH

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
I20061103000502 OH Practitioner - Family Practice 0840297800 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006135OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Nov 7, 2007 Accepting new patients

Locations

4130 Dry Ridge Rd
Cincinnati, OH 45252
Phone (513) 385-6000

1701 Llanfair Ave
Cincinnati, OH 45224
Phone (513) 681-3042

5575 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 385-3113

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

5525 Marie Ave
Cincinnati, OH 45248
Phone (513) 598-1300

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

6350 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-1414

4631 Ridge Ave
#A
Cincinnati, OH 45209
Phone (513) 631-1268

Organizations & group practices 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1881637460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 DRY RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452521914",
            "telephone_number": "513-981-5162",
            "fax_number": "513-923-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 DRY RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452521914",
            "telephone_number": "513-981-5162",
            "fax_number": "513-923-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBO",
        "first_name": "JOHN",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.