Individual provider Active NPI

Michael Ulland Todd, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1902883937
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35070241T Issued in OH
Practice address
5555 Glenway Ave
Cincinnati, OH 45238-3445
Phone
(513) 952-5930
Fax
(513) 952-5928
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35070241T OH Primary

Addresses

Primary practice location

5555 Glenway Ave
Cincinnati, OH 45238-3445

Mailing address

5555 Glenway Ave
Cincinnati, OH 45238-3445
Phone (513) 952-5930

Other practice location 1

4600 McAuley Pl Ste 112
Blue Ash, OH 45242-4765
Phone (513) 981-4646

Other practice location 2

1701 Mercy Health Pl
Cincinnati, OH 45237-6147
Phone (513) 952-5930

Other identifiers 2

IdentifierTypeStateIssuer
0266751MedicaidOH
P00754846OtherOHMEDICARE RR

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
I20090813000298 OH Practitioner - Family Practice 3476587536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35070241TOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Urgent Care LLC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

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

5555 Glenway Ave
Cincinnati, OH 45238
Phone (513) 952-5930

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

Interoperability endpoints

  • Direct secure messaging: mtodd1626@direct.bsmhealth.org

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1902883937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383445",
            "telephone_number": "513-952-5930",
            "fax_number": "513-952-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383445",
            "telephone_number": "513-952-5930",
            "fax_number": "513-952-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 McAuley Pl Ste 112",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424765",
            "country_code": "US",
            "telephone_number": "513-981-4646",
            "fax_number": "513-981-4647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Mercy Health Pl",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452376147",
            "country_code": "US",
            "telephone_number": "513-952-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "MICHAEL",
        "middle_name": "ULLAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-07-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35070241T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266751",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00754846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.