Individual provider Active NPI

Jennifer M Ridge, M.D.

  • Dermatology Physician
  • Middletown, OH
National Provider Identifier
1932192515
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.060180 Issued in OH
Practice address
210 N Breiel Blvd
Middletown, OH 45042-3808
Phone
(513) 424-7231
Fax
(513) 424-1770
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35060180 OH
MOHS-Micrographic Surgery Physician 207ND0101X 35.060180 OH
Procedural Dermatology Physician 207NS0135X 35.060180 OH
Dermatology Physician 207N00000X 35.060180 OH Primary

Addresses

Primary practice location

210 N Breiel Blvd
Middletown, OH 45042-3808

Mailing address

1 Gardner PL
Middletown, OH 45042-2338
Phone (513) 727-8313

Other identifiers 1

IdentifierTypeStateIssuer
0996294MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jridge@directaddress.net

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
I20101014001213 OH Practitioner - Dermatology 5890729701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer M Ridge MD IncGroup PAC ID 9537193446, 2 clinicians

Practice addresses (Care Compare)

210 N Breiel Blvd
Middletown, OH 45042-3889
Phone (513) 424-7231

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as group
Quality
94.05
Promoting interoperability
100
Improvement activities
40
Cost
71.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision346
Removal of tissue14
Removal of skin lesions5486
Removal of skin cancer924
Removal or shaving of skin growth33
Skin biopsy1238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35060180OHMDSpecialist
35.060180OHMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer M Ridge MD Inc Specialist CurrentSince Dec 1, 1994 Accepting new patients

Locations

210 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-7231

10 N Locust St
Ste B
Oxford, OH 45056
Phone (513) 523-0677

Interoperability endpoints

  • Direct secure messaging: jridge@directaddress.net

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1932192515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GARDNER PL",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422338",
            "telephone_number": "513-727-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423808",
            "telephone_number": "513-424-7231",
            "fax_number": "513-424-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35060180",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35.060180",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35.060180",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.060180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0996294",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jridge@directaddress.net",
            "affiliation": "N",
            "address_1": "210 N Breiel Blvd",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450423808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.