Individual provider Active NPI

Kevin J Cochran, MD

  • Cardiovascular Disease Physician
  • Fairfield, OH
National Provider Identifier
1902879976
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.087405 Issued in OH
Practice address
3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335
Phone
(513) 751-4222
Fax
(513) 751-4353
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 35087405 OH
Cardiovascular Disease Physician 207RC0000X 35.087405 OH Primary

Addresses

Primary practice location

3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335

Mailing address

3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335
Phone (513) 751-4222

Other identifiers 1

IdentifierTypeStateIssuer
2636820MedicaidOH

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
I20060221000001 OH Practitioner - Peripheral Vascular DiseasePractitioner - Cardiovascular Disease (Cardiology) 7719923176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Peripheral Vascular DiseaseAlso: Cardiovascular Disease (Cardiology)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLC 343 clinicians

Practice addresses (Care Compare)

3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335
Phone (513) 751-4222

Hospital & facility affiliations

  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35087405OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jan 1, 2011 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Adena Medical Group LLC Interventional Cardiology CurrentSince Dec 17, 2015 Accepting new patients
Olga Duarte MD Inc Past Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC PastSince Apr 1, 2021 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC PastSince May 21, 2022 Accepting new patients
Mercy Health Physicians Lima, LLC Interventional Cardiology Past Accepting new patients
Chicago Heart and Vascular Consultants, LTD Cardiovascular Disease Past Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC PastSince Jan 1, 2022 Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health Physicians North Specialty Care LLC PastSince Jan 1, 2022 Accepting new patients

Locations

525B W Plane St
Bethel, OH 45106
Phone (513) 734-4555

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2123 Auburn Ave
Ste 624
Cincinnati, OH 45219
Phone (513) 564-1600

8000 5 Mile Rd
Ste 103
Cincinnati, OH 45230
Phone (513) 231-1617

3131 Queen City Ave
Cincinnati, OH 45238
Phone (513) 557-3209

4760 E Galbraith Rd
Ste 205
Cincinnati, OH 45236
Phone (513) 215-8305

8250 Kenwood Crossing Way
Ste 225
Cincinnati, OH 45236
Phone (513) 936-0444

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

3000 Mack Rd
#100
Fairfield, OH 45014
Phone (513) 870-7106

3000 Mack Rd
Ste 100
Fairfield, OH 45014

425 Home St
Georgetown, OH 45121
Phone (937) 378-6121

1525 Genntown Dr
Ste A2
Lebanon, OH 45036

4652 Partners Pl
Liberty Twp, OH 45011
Phone (513) 603-8720

5470 Kings Island Dr
Ste 120
Mason, OH 45040
Phone (513) 791-4490

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

270 S Locust St
Oxford, OH 45056
Phone (513) 524-1018

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: kcochran3922@direct.bsmhealth.org

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Health - West HospitalCincinnati, OH, CCN 360234 Hospital Corporate Director Feb 1, 2018
Mercy Health - Anderson HospitalCincinnati, OH, CCN 360001 Hospital Corporate Director Feb 1, 2018
Mercy Health - Clermont HospitalBatavia, OH, CCN 360236 Hospital Corporate Director Feb 1, 2018
Mercy Health - Fairfield HospitalFairfield, OH, CCN 360056 Hospital Corporate Director Feb 1, 2018
Mercy Health - West HospitalCincinnati, OH, CCN 36T234 Hospital Corporate Director Feb 1, 2018
Mercy Hospital Fairfield-Rehabilitation UnitFairfield, OH, CCN 36T056 Hospital Corporate Director Feb 1, 2018
The Jewish Hospital - Mercy HealthCincinnati, OH, CCN 360016 Hospital Corporate Director Feb 1, 2018
Mercy Health-Clermont HospitalBatavia, OH, CCN 36S236 Hospital Corporate Director Feb 1, 2018
The Jewish Hospital - Mercy HealthCincinnati, OH, CCN 36T016 Hospital Corporate Director Feb 1, 2018
Anderson Hospital - Rehab UnitCincinnati, OH, CCN 36T001 Hospital Corporate Director Feb 1, 2018
Mercy Health Kings Mills Hospital LLCMason, OH, CCN 360374 Hospital Corporate Director Feb 1, 2018

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1902879976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "address_2": "SUITE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-751-4222",
            "fax_number": "513-751-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "address_2": "SUITE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-751-4222",
            "fax_number": "513-751-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35087405",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.087405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2636820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.