Active NPI
David C Fabrey, M.D.
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1902851058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35040436
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366241 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35040436 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.