JONATHAN ALLAN JANICZEK M.D.
NPI 1255727426
Hospitalist in Cincinnati, OH

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 475-8000(513) 584-0468 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 20, 2023, Jul 24, 2019, May 21, 2019 (3 updates tracked since 2019).

About Jonathan Allan Janiczek M.d. NPPES

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

JONATHAN ALLAN JANICZEK M.D. (NPI 1255727426) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35136418) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1255727426
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJONATHAN ALLAN JANICZEKCredential: M.D.
Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369
Mailing Address234 Goodman St, Ml 665xCincinnati, OH 45219-2364 · (513) 584-7425 · Fax (513) 584-7681
Fax(513) 584-0468
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2015
Enumeration DateApril 14, 2015
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1255727426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35136418
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 35.136418 (OH)
3188 BELLEVUE AVE, Cincinnati, OH 45219

Secondary Practice Location 1

Location 13333 Burnet AveCincinnati, OH 45229-3026 · Phone (513) 636-4225

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

Jonathan Allan Janiczek M.d. 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 ID9335451020
PECOS Enrollment IDI20190729002914
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 Jonathan Janiczek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group

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 3

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.
36 services17 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.
34 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

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.

Internal Medicine (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Emergency Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Anesthesiology
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Internal Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219

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 Jonathan Janiczek's NPI number?

The NPI number for Jonathan Janiczek is 1255727426. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Jonathan Janiczek located?

Jonathan Janiczek practices at 3188 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8000.

What is Jonathan Janiczek's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jonathan Janiczek enrolled in Medicare?

Yes. Jonathan Janiczek 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 organizations bill Medicare for Jonathan Janiczek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Janiczek reassigns Medicare benefits to 2 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH) and Children's Hospital Medical Center (Cincinnati, OH). 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 Jonathan Janiczek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jonathan Janiczek affiliated with any hospitals?

According to CMS data, Jonathan Janiczek is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Jonathan Janiczek was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.