Individual provider Active NPI

Nicholas S Mirkopoulos, MD

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1922007558
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35-05-1910 Issued in OH
Practice address
3219 Clifton Ave Ste 300
Cincinnati, OH 45220-3045
Phone
(513) 354-3700
Fax
(513) 751-0023
NPI assigned
Jul 15, 2005
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35-05-1910 OH Primary

Addresses

Primary practice location

3219 Clifton Ave Ste 300
Cincinnati, OH 45220-3045

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-3700

Other identifiers 2

IdentifierTypeStateIssuer
0703859MedicaidOH
200025310MedicaidIN

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
I20050407001374 OH Practitioner - Orthopedic Surgery 6103878285 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients

Locations

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

3219 Clifton Ave
Ste 300
Cincinnati, OH 45220
Phone (513) 751-3668

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

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

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

10547 Montgomery Rd
Ste 400
Montgomery, OH 45242
Phone (513) 982-6077

4600 Smith Rd
Ste B
Norwood, OH 45212
Phone (513) 221-4848

Interoperability endpoints

  • Direct secure messaging: nicholas.mirkopoulos.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: nicholas.mirkopoulos.p2@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1922007558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-3700",
            "fax_number": "513-751-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203045",
            "telephone_number": "513-354-3700",
            "fax_number": "513-751-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRKOPOULOS",
        "first_name": "NICHOLAS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-05-1910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703859",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200025310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.