Organization provider

THE HEALTH EXPERIENCES PRIMARY CARE

Family Medicine Physician Internal Medicine Physician Pediatrics Physician Medicare enrolled

THE HEALTH EXPERIENCES PRIMARY CARE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033569611, based in Cincinnati, OH. The organization lists 4 taxonomy classifications, with Family Medicine Physician recorded as primary.

Getting there

The practice address on file is 199 WILLIAM HOWARD TAFT RD, Cincinnati, OH 45219. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

199 WILLIAM HOWARD TAFT RD, Cincinnati, OH 45219 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
35072050 OH Family Medicine Physician primary
35076827 OH Internal Medicine Physician
35076827 OH Pediatrics Physician
35039200 OH Behavioral Neurology & Neuropsychiatry…

This provider holds licence 35072050 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9234418906

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 35072050 OH primary
207R00000X Internal Medicine Physician 35076827 OH
208000000X Pediatrics Physician 35076827 OH
2084B0040X Behavioral Neurology & Neuropsychiatry Physician Behavioral Neurology & Neuropsychiatry 35039200 OH

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1033569611 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 15, 2016
Last updatedNov 28, 2017
StatusActive
Practice address 199 WILLIAM HOWARD TAFT RD
Cincinnati, OH 45219
(513) 616-8774
Other identifiers 0180921 (OH)
This record was last updated on Nov 28, 2017, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1033569611 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 3 3 5 6 9 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 6 3 1 6 9 6 2

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1033569611?
NPI 1033569611 is the National Provider Identifier assigned to THE HEALTH EXPERIENCES PRIMARY CARE in Cincinnati, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact THE HEALTH EXPERIENCES PRIMARY CARE?
The phone number on file with NPPES is (513) 616-8774, last updated Nov 28, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does THE HEALTH EXPERIENCES PRIMARY CARE accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1033569611 a valid number?
Yes. 1033569611 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.