Individual provider Active NPI

Eric Tungol, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1912384058
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17283-NP Issued in OH
Practice address
6350 Glenway Ave
Suite 305
Cincinnati, OH 45211-6378
Phone
(513) 862-5722
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17283-NP OH Primary

Addresses

Primary practice location

6350 Glenway Ave
Suite 305
Cincinnati, OH 45211-6378

Mailing address

6350 Glenway Ave
Suite 305
Cincinnati, OH 45211-6378
Phone (513) 862-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150515001983 OH Practitioner - Nurse Practitioner 1759601651 Reassigns benefits to 2 organizations
I20200327001413 MI Practitioner - Nurse Practitioner 1759601651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10496 Montgomery Rd
Suite 110
Montgomery, OH 45242-5220
Phone (513) 671-7700

3055 Hamilton Mason Rd
Fairfield Township, OH 45011-5307

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

6350 Glenway Ave
FL 3
Cincinnati, OH 45211-6378
Phone (513) 246-4550

Hospital & facility affiliations

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
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.17283-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC CurrentSince Jun 1, 2015 Accepting new patients
Trihealth G, LLC CurrentSince Jun 1, 2015 Accepting new patients
Theoria Medical CurrentSince Mar 1, 2020 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

6350 Glenway Ave
Ste 305
Cincinnati, OH 45211
Phone (513) 481-1470

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

3055 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 454-3050

10496 Montgomery Rd
Ste 104
Montgomery, OH 45242
Phone (513) 791-2055

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: etungol107501@direct.trihealth.com

Organizations & group practices 5

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.

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1912384058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-862-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-862-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGOL",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17283-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.