Individual provider Active NPI

Stephen T Kondash, M.D.

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1962404186
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.061621 Issued in OH
Practice address
2841 Boudinot Ave
Ste 300
Cincinnati, OH 45238-2496
Phone
(513) 389-9911
Fax
(513) 389-7854
NPI assigned
Jun 1, 2005
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.061621 OH Primary

Addresses

Primary practice location

2841 Boudinot Ave
Ste 300
Cincinnati, OH 45238-2496

Mailing address

PO Box 631662
Cincinnati, OH 45263-1662
Phone (859) 581-7120

Other identifiers 3

IdentifierTypeStateIssuer
180024728OtherMEDICARE RAILROAD
200119220MedicaidIN
0851949MedicaidOH

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
I20100827000287 OH Practitioner - Ophthalmology 8325934516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Centers for Sight IncGroup PAC ID 7113812090, 37 clinicians

Practice addresses (Care Compare)

2135 Dana Ave
Suite 310
Cincinnati, OH 45207-1327
Phone (513) 221-7788

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.061621OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Centers for Sight, Inc. Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Tri-State Centers for Sight, Inc. Ophthalmology Current Accepting new patients
Tri-State Centers for Sight Inc Ophthalmology CurrentSince Jan 1, 1996 Accepting new patients
Tri-State Centers for Sight Inc Past Accepting new patients

Locations

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017
Phone (606) 341-6660

1060 Nimitzview Dr
Ste 105
Cincinnati, OH 45230
Phone (513) 232-2500

1577 Goodman Ave
Ste B
Cincinnati, OH 45224
Phone (513) 729-1321

2055 Reading Rd
Ste 330
Cincinnati, OH 45202
Phone (513) 381-1900

2135 Dana Ave
Ste 310
Cincinnati, OH 45207
Phone (513) 221-7788

2841 Boudinot Ave
Ste 300
Cincinnati, OH 45238
Phone (513) 389-5920

5520 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 389-9911

7730 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 791-5999

8040 Hosbrook Rd
Ste 100
Cincinnati, OH 45236
Phone (513) 891-0473

8044 Montgomery Rd
Ste 155
Cincinnati, OH 45236
Phone (513) 731-7967

8270 Pine Rd
Cincinnati, OH 45236
Phone (513) 791-5999

1017 Main St
Hamilton, OH 45013
Phone (513) 868-2181

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

5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2123

12124 Sheraton Ln
Springdale, OH 45246
Phone (513) 381-1900

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

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, 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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1962404186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631662",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631662",
            "telephone_number": "859-581-7120",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 BOUDINOT AVE",
            "address_2": "STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382496",
            "telephone_number": "513-389-9911",
            "fax_number": "513-389-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDASH",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.061621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180024728",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119220",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.