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MR. EBENEZER EDGAR ENCHIA JR. M.D.
NPI 1417305558
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Cincinnati, OH

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
7575 5 MILE RD, CINCINNATI, OH 45230(513) 232-7100(513) 624-1240 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 20, 2023, Aug 16, 2023, Jul 26, 2023 and 1 more (4 updates tracked since 2021).

About Mr. Ebenezer Edgar Enchia Jr. M.d. NPPES

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

MR. EBENEZER EDGAR ENCHIA JR. M.D. (NPI 1417305558) is an individual preventive medicine/occupational environmental medicine provider in Cincinnati, Ohio, licensed in Ohio (35.147450) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1417305558
Entity TypeIndividualMale
Primary Taxonomy2083P0500X
Provider Legal NameMR. EBENEZER EDGAR ENCHIA JR.Credential: M.D.
Location Address7575 5 MILE RDCincinnati, OH 45230-4346
Mailing Address7575 5 Mile RdCincinnati, OH 45230-4346 · (513) 232-7100 · Fax (513) 624-1240
Phone(513) 232-7100
Fax(513) 624-1240
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateOctober 20, 20234 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1417305558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in OH · 35.147450
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036.151048 (IL), 35.147450 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7575 5 MILE RD, Cincinnati, OH 45230
Open in Google Maps ↗

Secondary Practice Location 1

Location 1611 W ParkUrbana, IL 61801 · Phone (217) 383-4645

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 and accepts Medicare assignment

Mr. Ebenezer Edgar Enchia Jr. 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 ID4880926054
PECOS Enrollment IDI20230719001233
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

3

Medicare enrollment records show Ebenezer Enchia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Cincinnati, LLC
9.2 mi
Family Medicine
4600 MCAULEY PL STE 600
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 204 clinicians in this Medicare group
NPI 1205887023 (513) 952-5210
American Current Care Of Ohio PA Co
812 mi
Urgent Care
5080 SPECTRUM DR, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
NPI 1023292943 (972) 720-7772
American Current Care PA
812 mi
Urgent Care
5080 SPECTRUM DRIVE, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
NPI 1720262645 (972) 720-7772

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.

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.
59 services42 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.
58 services51 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

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

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45230 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.

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.

JAMES N O'DEA M.D.
Family Medicine
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 232-7100
MOLLY C. CANNELL ATC
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 233-4360
MERCY HEALTH PHYSICIANS CINCINNATI LLC
Durable Medical Equipment & Medical Supplies
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 232-6677
MS. DEANA LYNN MERCHANT P.T.
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 233-4360
ALAINA ELIZABETH KREMER PT
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 233-4360
MR. ANDREW HOLTZAPFEL AT
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 232-6677
MR. WILLIAM ANDREW MIDDENDORF PT
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 233-4360
TIFFANY LYNN GODLOVE PT
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 233-4360

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 Ebenezer Enchia's NPI number?

The NPI number for Ebenezer Enchia is 1417305558. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Ebenezer Enchia located?

Ebenezer Enchia practices at 7575 5 Mile Rd, Cincinnati, OH 45230. The listed phone number is (513) 232-7100.

What is Ebenezer Enchia's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Ebenezer Enchia enrolled in Medicare?

Yes. Ebenezer Enchia 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 Ebenezer Enchia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebenezer Enchia reassigns Medicare benefits to 3 organizations: Mercy Health Physicians Cincinnati, LLC (Blue Ash, OH), American Current Care Of Ohio PA Co (Addison, TX) and American Current Care PA (Addison, TX). 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 Ebenezer Enchia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebenezer Enchia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 11 other insurers list Ebenezer Enchia 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 Ebenezer Enchia affiliated with any hospitals?

According to CMS data, Ebenezer Enchia is affiliated with Mercy Health-Anderson Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Ebenezer Enchia was last updated on October 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.