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LATOYA LABRESSKA BRATHWAITE MD
NPI 1093074197
Internal Medicine - Nephrology in Cincinnati, OH

Active since May 09, 2012PECOS Enrolled
78.78/100
CMS Quality Rating
3130 HIGHLAND AVE, 2ND FLOOR NEPHROLOGY HOXWORTH CLINIC, CINCINNATI, OH 45219(513) 584-4061(513) 584-3349 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2017, Aug 8, 2017 (2 updates tracked since 2017).

About Latoya Labresska Brathwaite Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATOYA LABRESSKA BRATHWAITE MD (NPI 1093074197) is an individual nephrology provider in Cincinnati, Ohio, licensed in Ohio (35131976) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093074197
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameLATOYA LABRESSKA BRATHWAITECredential: MD
Location Address3130 HIGHLAND AVE, 2ND FLOOR NEPHROLOGY HOXWORTH CLINICCincinnati, OH 45219-2364
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5504 · Fax (513) 585-5511
Phone(513) 584-4061
Fax(513) 584-3349
Sole ProprietorNo
Enumeration DateMay 9, 2012
Last NPPES UpdateAugust 14, 20172 updates tracked since enumeration
✔ NPI 1093074197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in OH · 35131976✔ Licensed in OH · 57.021384
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.021384 (OH)
3130 HIGHLAND AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latoya Labresska Brathwaite Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Latoya Brathwaite reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Cincinnati Physicians Company, LLC
0.1 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 125 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000
Vi Government Hospital & Health Facilities Corp
1,853 mi
General Acute Care Hospital
9048 SUGAR EST
St Thomas, VI 00802
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • Medicare enrollment name: Vi Government Hospital And Health Facilities Corp
  • 114 clinicians in this Medicare group
NPI 1548712409 (340) 776-8311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEI QU PHARMD
Pharmacist
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (135) 584-8828
MICHAEL FRITZ
Dermatology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7630
MARGO WATERS MD
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE, GROUND FLOOR
CINCINNATI, OH 45219
Hamilton County (513) 584-4644
THOMAS LAWLER
Internal Medicine
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4505
JULIANE VIERECKE MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-7217
MAX CHRISTOPHER REIF M.D.
Internal Medicine (Nephrology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4061
DR. WILLIAM MICHAEL GAYNIER D.O
Ophthalmology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-5461
ALEXUS RIAS
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-7425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latoya Brathwaite's NPI number?

The NPI number for Latoya Brathwaite is 1093074197. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Latoya Brathwaite located?

Latoya Brathwaite practices at 3130 Highland Ave 2nd Floor Nephrology Hoxworth Clinic, Cincinnati, OH 45219. The listed phone number is (513) 584-4061.

What is Latoya Brathwaite's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Latoya Brathwaite enrolled in Medicare?

Yes. Latoya Brathwaite is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Latoya Brathwaite's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latoya Brathwaite reassigns Medicare benefits to 2 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH) and Vi Government Hospital & Health Facilities Corp (St Thomas, VI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latoya Brathwaite's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latoya Brathwaite accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Latoya Brathwaite as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latoya Brathwaite was last updated on August 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.