Active NPI
Samuel Blaise Marcucci, MD
- Neurology Physician
- Cincinnati, OH
National Provider Identifier
1992381958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35.153484
- Practice address
- 3113 Bellevue Avenue
Cincinnati, OH 45219-3158 - Phone
- (513) 475-8730
- Fax
- (513) 475-8033
- NPI assigned
- Mar 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35.153484 | OH | Primary |
Addresses
Primary practice location
3113 Bellevue Avenue
Cincinnati, OH 45219-3158
Mailing address
3200 Burnet Ave
Cincinnati, OH 45229-3019
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622000591 | OH | Practitioner - Neurology | 4688076169 |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Cincinnati College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3200 Burnet Ave
Cincinnati, OH 45229-3028
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1992381958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 BELLEVUE AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452193158",
"telephone_number": "513-475-8730",
"fax_number": "513-475-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUCCI",
"first_name": "SAMUEL",
"middle_name": "BLAISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-21",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.153484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.