Active NPI
Jennifer M Ridge, M.D.
- Dermatology Physician
- Middletown, OH
National Provider Identifier
1932192515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35.060180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0996294 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 94.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 346 |
| Removal of tissue | 14 |
| Removal of skin lesions | 5486 |
| Removal of skin cancer | 924 |
| Removal or shaving of skin growth | 33 |
| Skin biopsy | 1238 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35060180 | OH | MD | Specialist |
| 35.060180 | OH | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer M Ridge MD Inc | Specialist | Current | 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
- 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.
-
- Specialist
- Middletown, OH
- NPI 1447307194
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.