Organization Active NPI

Jerry N. Kirby, M.D., Inc

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1891976593
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-04-3017-K Issued in OH
Legal business name
JERRY N. KIRBY, M.D., INC
Practice address
2123 Auburn Ave
Ste. 304
Cincinnati, OH 45219-2906
Phone
(513) 241-2001
Fax
(513) 241-2570
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Jerry N. Kirby, M.D.NPI 1174659015
Title
Doctor
Phone
(513) 241-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-04-3017-K OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Ste. 304
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
Ste. 304
Cincinnati, OH 45219-2906
Phone (513) 241-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000176 OH Part B Supplier - Clinic/Group Practice 4183657448 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

2123 Auburn Ave
Ste 304
Cincinnati, OH 45219
Phone (513) 241-2001

2123 Auburn Ave
Ste 301
Cincinnati, OH 45219
Phone (513) 241-2001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1891976593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "STE. 304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-2001",
            "fax_number": "513-241-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "STE. 304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-2001",
            "fax_number": "513-241-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY N. KIRBY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "513-241-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-04-3017-K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.