CHMC COMMUNITY HEALTH SERVICES NETWORK – Pediatrics Physician, NPI 1245821271
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHMC COMMUNITY HEALTH SERVICES NETWORK
6555 Clyo Rd
Centerville, OH 454592765
Phone: (513) 336-6700
Type: Location
525 Alexandria Pike Ste 320
Southgate, KY 410713243
Phone: (859) 781-1310
Type: Location
4465 Alexandria Pike
Cold Spring, KY 410761901
Phone: (859) 635-5272
Type: Location
7502 State Rd Ste 3350
Cincinnati, OH 452552801
Phone: (513) 636-3211
Type: Location
10554 Loveland Madeira Rd
Loveland, OH 451408962
Phone: (513) 336-6700
Type: Location
1150 W Locust St
Wilmington, OH 451772572
Phone: (513) 336-6700
Type: Location
2015 Childrens Way
Union, KY 410917829
Phone: (513) 336-6700
Type: Location
12061 Sheraton Ln
Cincinnati, OH 452461611
Phone: (513) 336-6700
Type: Location
9600 Children Dr Bldg D
Mason, OH 450406791
Phone: (513) 336-6700
Type: Location
7335 Yankee Rd Ste 100
Liberty Township, OH 450440007
Phone: (513) 336-6700
Type: Location
1809 N Lincoln St
Greensburg, IN 472401272
Phone: (812) 662-8115
Type: Location
124 State Road 46 W
Batesville, IN 470061487
Phone: (812) 933-6000
Type: Location
10032 Demia Way
Florence, KY 410424734
Phone: (859) 647-6700
Type: Location
3333 BURNET AVE. ML 5021
CINCINNATI, OH 452293026
Phone: (513) 636-4225
Fax: (513) 636-2511
Type: Mailing
3333 BURNET AVE
CINCINNATI, OH 452293026
Phone: (513) 636-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (830 days ago).
Enrollment records
3
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110312000067 | O | Clinic/Group Practice | IN | 2024-02-29 |
| O20200601002946 | O | Clinic/Group Practice | OH | 2025-09-30 |
| O20241122003451 | O | Clinic/Group Practice | KY | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45459)
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