Christopher R Diroff, MD
Individual provider Active NPI Family Medicine Physician · Highland Heights, KY
NPI 1982132288 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1982132288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 57405 (KY)
- Practice address
- 2626 Alexandria Pike
Highland Heights, KY 41076-1530 - Phone
- (859) 757-0434
- Fax
- (859) 441-0906
- NPI assigned
- May 31, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone (859) 757-0434
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Ft Thomas
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210928000112 | WI | Practitioner - Family Practice | 8325319270 | Reassigns benefits to 2 organizations |
| I20230330000620 | KY | Practitioner - Family Practice | 8325319270 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57405 | KY | MD | Family Medicine Physician |
| TP160 | KY | MD | Family Medicine Physician |
| 4301111927 | MI | MD | Family Medicine Physician |
| 4301501968 | MI | MD | Family Medicine Physician |
| 75831 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current |
Accepting new patients | |
| Gundersen Clinic, LTD | Family Medicine | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Gundersen Lutheran Medical Center, Inc | Family Medicine | Current |
Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
Locations
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
Interoperability endpoints
- cdiroff551971@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP160 | KY | |
| Family Medicine Physician | 207Q00000X | 4301501968 | MI | |
| Family Medicine Physician | 207Q00000X | 4301111927 | MI | |
| Family Medicine Physician | 207Q00000X | 75831 | WI | |
| Family Medicine Physician | 207Q00000X | 57405 | KY | Yes |
Addresses
Primary practice location
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 757-0434
Other providers in Highland Heights, KY
- Lynnette Carol Chasteen
- Rani L. Clark
- Colleen Patricia Delzotti
- Ansley H. Depp
- Nicholas Dikeos
- Suzanne Elizabeth Dorma
- Aaron John Dragone
- Ibrahim Elgumati
- Sarah Erickson
- Familylife Vision Care, PSC
All providers in Highland Heights, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.