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DR. TADESSE M BANTIRGU LSW
NPI 1093179897
Social Worker - Clinical in Cincinnati, OH

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45219(513) 475-5312(513) 332-0367 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tadesse M Bantirgu Lsw NPPES

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

DR. TADESSE M BANTIRGU LSW (NPI 1093179897) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (S-0024418) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1093179897
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. TADESSE M BANTIRGUCredential: LSW
Location Address311 MARTIN LUTHER KING DR ECincinnati, OH 45219-2581
Mailing Address311 Martin Luther King Dr ECincinnati, OH 45219-2581 · (513) 475-5312 · Fax (513) 332-0367
Phone(513) 475-5312
Fax(513) 332-0367
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 7, 2016
Last NPPES UpdateAugust 3, 2016
✔ NPI 1093179897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · S-0024418
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 021324 (OH)
311 MARTIN LUTHER KING DR E, Cincinnati, OH 45219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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 and accepts Medicare assignment

Dr. Tadesse M Bantirgu Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840633459
PECOS Enrollment IDI20240212001104
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 Reassignment

Medicare enrollment records show Tadesse Bantirgu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Crossroads Center
Same address
Rehabilitation, Substance Use Disorder
311 MARTIN LUTHER KING DR
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1265496590 (513) 475-5300

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

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
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. PATRICIA BROWN LISW/LICDC
Social Worker (Clinical)
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5300
CARL TUCKER MA, LPCC-S, LICDC-CS
Counselor (Mental Health)
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5360
KA'SHARRIE NASHIA MEDALION
Case Manager/Care Coordinator
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5300
KRISTINA JOHNSTON RN
Registered Nurse
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5300
THOMAS TUCKER LSW, LCDCIII
Social Worker (Clinical)
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5333
DIONNE DENSON
Registered Nurse
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5300
AMY ROSE SIERSCHULA LSW
Social Worker
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5300
GARRY POUNDS MSW
Social Worker (Clinical)
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219
Hamilton County (513) 475-5300

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 Tadesse Bantirgu's NPI number?

The NPI number for Tadesse Bantirgu is 1093179897. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Tadesse Bantirgu located?

Tadesse Bantirgu practices at 311 Martin Luther King Dr E, Cincinnati, OH 45219. The listed phone number is (513) 475-5312.

What is Tadesse Bantirgu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tadesse Bantirgu enrolled in Medicare?

Yes. Tadesse Bantirgu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tadesse Bantirgu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tadesse Bantirgu reassigns Medicare benefits to The Crossroads Center (Cincinnati, OH). The 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 Tadesse Bantirgu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tadesse Bantirgu accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Tadesse Bantirgu 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 Tadesse Bantirgu was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.