ROBERT SIBILIA MD
NPI 1285139493
Internal Medicine - Cardiovascular Disease in Cincinnati, OH

Q: What is Robert Sibilia's NPI number?

The NPI number for Robert Sibilia is 1285139493. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Q: What is Robert Sibilia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Sibilia was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment

11140 MONTGOMERY RD STE 1300, CINCINNATI, OH 45249(513) 792-7800(513) 792-7807 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Mar 28, 2018 (2 updates tracked since 2018).

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About Robert Sibilia Md NPPES

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

ROBERT SIBILIA MD (NPI 1285139493) is an individual cardiovascular disease provider in Cincinnati, Ohio, licensed in Ohio (35.151362) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and maintains a secondary practice location in Liberty Twp.

NPPES Registry Identity

NPI1285139493

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameROBERT SIBILIACredential: MD

Location Address11140 MONTGOMERY RD STE 1300Cincinnati, OH 45249-2309

Mailing Address2139 Auburn Ave. 4-7Cincinnati, OH 45219-2906 · (513) 263-9402 · Fax (513) 564-2918

Phone(513) 792-7800

Fax(513) 792-7807

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2018

Enumeration DateMarch 28, 2018

Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1285139493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 35.151362

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11140 MONTGOMERY RD STE 1300, Cincinnati, OH 45249

Open in Google Maps ↗

Secondary Practice Location 1

Location 16939 Cox Rd Ste 250Liberty Twp, OH 45069-7595 · Phone (513) 206-1460 · Fax (513) 206-1479

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Sibilia Md 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 ID3971850025

PECOS Enrollment IDI20240911004180

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.

Areas of Expertise CMS Part B claims 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

53 services53 patients

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.

50 services30 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

37 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

35 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 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.

27 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

19 services19 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

17 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

11 services11 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

11 services11 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360001

Location7500 State RoadCincinnati, OH 45255 · Hamilton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360175

Location610 West Main StreetWilmington, OH 45177 · Clinton County

Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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

$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 5

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

DARLENE TIERNEY ARNP

Nurse Practitioner

11140 MONTGOMERY RD STE 1300
MONTGOMERY, OH 45249

Hamilton County (859) 331-0774

ELISABETH ASHLEIGH SCHWARTZ RN

Registered Nurse

11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249

Hamilton County (513) 792-7800

DR. MARIANA J CANONIERO MD

Internal Medicine (Cardiovascular Disease)

11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249

Hamilton County (513) 792-7800

ODAYME QUESADA MD

Internal Medicine (Cardiovascular Disease)

11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249

Hamilton County (513) 792-7800

DR. JOEL P REGINELLI M.D.

Internal Medicine (Cardiovascular Disease)

11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249

Hamilton County (513) 792-7800

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 Robert Sibilia's NPI number?

The NPI number for Robert Sibilia is 1285139493. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Robert Sibilia located?

Robert Sibilia practices at 11140 Montgomery Rd Ste 1300, Cincinnati, OH 45249. The listed phone number is (513) 792-7800.

What is Robert Sibilia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Sibilia enrolled in Medicare?

Yes. Robert Sibilia 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.

What insurance does Robert Sibilia accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Robert Sibilia 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.

Is Robert Sibilia affiliated with any hospitals?

According to CMS data, Robert Sibilia is affiliated with Margaret Mary Community Hospital Inc, Mercy Health-Anderson Hospital, Christ Hospital, Clinton Memorial Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Robert Sibilia was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.