Individual provider Active NPI

Ishmael Henaku Opare, MD

  • Pediatrics Physician
  • Mason, OH
National Provider Identifier
1952964306
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.14.5619 Issued in OH
Practice address
9600 Children Dr BLDG D
Mason, OH 45040-6791
Phone
(513) 336-6700
Fax
(513) 398-2109
NPI assigned
Apr 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.14.5619 OH Primary

Addresses

Primary practice location

9600 Children Dr BLDG D
Mason, OH 45040-6791

Mailing address

9600 Children Dr BLDG D
Mason, OH 45040-6791
Phone (513) 336-6700

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
I20230104002942 OH Practitioner - Pediatric Medicine 1850761065 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHMC Community Health Services Network Pediatrics Current Accepting new patients
CHMC Community Health Services Network Pediatrics CurrentSince Sep 21, 2022 Accepting new patients
Children'S Hospital Medical Center Pediatrics CurrentSince May 5, 2024 Accepting new patients
Sterling Rapid Response, LLC CurrentSince Oct 12, 2024 Accepting new patients
CHMC Community Health Services Network Pediatrics Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

7502 State Rd
Ste 3350
Cincinnati, OH 45255
Phone (513) 231-3345

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

7335 Yankee Rd
Ste 100
Liberty Township, OH 45044

9600 Children Dr
Mason, OH 45040
Phone (513) 336-9291

9600 Children Dr
Bldg D
Mason, OH 45040

129 W Kemper Rd
Springdale, OH 45246
Phone (513) 954-0112

1 Strader Dr
Trotwood, OH 45426
Phone (513) 954-0112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26392/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/FmRItZc30RH60LjxwsIxQM4HGo6XcQXK/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1952964306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 CHILDREN DR BLDG D",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406791",
            "telephone_number": "513-336-6700",
            "fax_number": "513-398-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 CHILDREN DR BLDG D",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406791",
            "telephone_number": "513-336-6700",
            "fax_number": "513-398-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPARE",
        "first_name": "ISHMAEL",
        "middle_name": "HENAKU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-20",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.14.5619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.