Individual provider Active NPI

Ulysses Tandoc, MD

  • Anesthesiology Physician
  • Morrow, OH
National Provider Identifier
1902804453
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35054398 Issued in OH
Practice address
1241 Shawhan Rd
Morrow, OH 45152-9695
Phone
(513) 865-5204
NPI assigned
Jul 8, 2005
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35054398 OH Primary

Addresses

Primary practice location

1241 Shawhan Rd
Morrow, OH 45152-9695

Mailing address

PO Box 632572
Cincinnati, OH 45263-2572
Phone (513) 865-5204

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
I20120312000816 OH Practitioner - Anesthesiology 2466611306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35054398OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group Practice, Inc Anesthesiology CurrentSince Jan 13, 1992 Accepting new patients
Cincinnati Pain Management Consultants LTD Past Accepting new patients
Southern Ohio Pathology Consultants Inc Past Accepting new patients

Locations

340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211

10191 Evendale Commons Dr
Cincinnati, OH 45241
Phone (513) 817-1150

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

538 Oak St
Cincinnati, OH 45219
Phone (513) 247-0224

3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888

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

10506 Montgomery Rd
Ste G103
Montgomery, OH 45242
Phone (513) 745-5120

10615 Montgomery Rd
Montgomery, OH 45242
Phone (513) 793-1999

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, 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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1902804453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632572",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632572",
            "telephone_number": "513-865-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 SHAWHAN RD",
            "city": "MORROW",
            "state": "OH",
            "postal_code": "451529695",
            "telephone_number": "513-865-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDOC",
        "first_name": "ULYSSES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35054398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, OH

Sources for this page

Verify at the official NPI Registry.