NPIMap

Individual provider Active NPI

Kelly Ann Brown, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1952505901
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35090846 Issued in OH
Practice address
7631 Cheviot Rd
Cincinnati, OH 45247
Phone
(513) 923-1886
Fax
(513) 923-2878
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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 35090846 OH Primary

Addresses

Primary practice location

7631 Cheviot Rd
Cincinnati, OH 45247

Mailing address

PO Box 637676
Cincinnati, OH 45263-0001
Phone (513) 923-1886

Other identifiers 3

IdentifierTypeStateIssuer
2851534MedicaidOH
35090846OtherOHLICENSE
57010442OtherOHMD TRAINING CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000363 OH Practitioner - Family Practice 5294808184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Family Practice CenterGroup PAC ID 7012905292, 15 clinicians
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

1775 W Lexington
Suite 100
Cincinnati, OH 45212-3667
Phone (513) 977-6700

7631 Cheviot Rd
Cincinnati, OH 45247-4012
Phone (513) 923-1886

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35090846OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Bethesda Family Practice Center Family Medicine CurrentSince Oct 23, 2010 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients

Locations

1775 W Lexington
Ste 100
Cincinnati, OH 45212
Phone (513) 531-6720

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

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

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

7631 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 923-1866

Interoperability endpoints

  • Direct secure messaging: kbrown2005@direct.trihealth.com

Organizations & group practices 4

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 10

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1952505901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637676",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "513-923-1886",
            "fax_number": "513-923-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-923-1886",
            "fax_number": "513-923-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35090846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2851534",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35090846",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD TRAINING CERTIFICATE",
            "identifier": "57010442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.