Juan L Peschiera, MD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

35-051013 Issued in OH

Practice address

375 Dixmyth Ave
Cincinnati, OH 45220-2475

Phone

(513) 872-0669

NPI assigned

Dec 21, 2006

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944
  Medicare reassignment NPD
• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742
  Medicare reassignment NPD
• Nutritional Support Team, Inc

  • Surgery Physician
  • Cincinnati, OH
  • NPI 1477688919
  Authorized official Same address or phone
• Trihealth G, LLC

  dba GE Family Wellness Center Pharmacy

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD
• Trihealth Physician Institute

  dba UHC North Hospitalists

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1497781884
  NPD (past)
• Trihealth Physician Institute

  dba Faculty Plan of Good Samaritan Hospital

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1912001603
  NPD (past)
• Westside Cardiology Inc.

  • Specialist
  • Cincinnati, OH
  • NPI 1811033459
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1962566943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710138",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452710001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-872-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCHIERA",
        "first_name": "JUAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OH",
            "license": "35-051013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000019740",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612251",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "720388",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64865322",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WKERS COMP",
            "identifier": "31145546100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personal Best Health, LLC
• Personal Newtrition LLC
• Personal Symmetrics
• Personal Wellness Counseling and Consulting, LLC
• Angela Perusek
• Michael Peschka, MD
• Kimberly Pessler, BSN, RN
• Chandra L Pester, RN CNS
• Peter Charles Madden DDS Inc
• Peter J Tsivitse Jr DDS & Assoc Inc

• Surgical Critical Care Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Surgical Critical Care Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.