Individual provider Active NPI

David C Fabrey, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1902851058
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35040436 Issued in OH
Practice address
800 Compton Rd
Unit 24
Cincinnati, OH 45231-3826
Phone
(513) 521-5333
Fax
(513) 521-5334
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35040436 OH Primary

Addresses

Primary practice location

800 Compton Rd
Unit 24
Cincinnati, OH 45231-3826

Mailing address

800 Compton Rd
Unit 24
Cincinnati, OH 45231-3826
Phone (513) 521-5333

Other identifiers 1

IdentifierTypeStateIssuer
0366241MedicaidOH

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
I20120201000791 OH Practitioner - Family Practice 9234396383 Practice locations: Cincinnati, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35040436OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1902851058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD",
            "address_2": "UNIT 24",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313826",
            "telephone_number": "513-521-5333",
            "fax_number": "513-521-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD",
            "address_2": "UNIT 24",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313826",
            "telephone_number": "513-521-5333",
            "fax_number": "513-521-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABREY",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35040436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366241",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.