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JENNIFER M RIDGE MD INC
NPI 1447307194
Specialist in Middletown, OH

Active since January 04, 2007CLIA Certified · 2 labs
210 N BREIEL BLVD, MIDDLETOWN, OH 45042(513) 424-7231(513) 424-1770 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer M Ridge Md Inc NPPES

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

JENNIFER M RIDGE MD INC (NPI 1447307194) is a healthcare organization registered as a specialist in Middletown, Ohio and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Jennifer M Ridge, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447307194
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJENNIFER M RIDGE MD INC
Location Address210 N BREIEL BLVDMiddletown, OH 45042-3808
Mailing Address210 N Breiel BlvdMiddletown, OH 45042-3808 · Fax (513) 424-1770
Phone(513) 424-7231
Fax(513) 424-1770
Organization SubpartNo
Authorized OfficialJennifer M RidgeCeo · (513) 424-7231
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447307194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35060180R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
210 N BREIEL BLVD, Middletown, OH 45042
Open in Google Maps ↗

Other Identifiers 1

Medicaid0996294OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Ridge Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer M Ridge MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Ridge, M.D.
Dermatology
NPI 1932192515
210 N BREIEL BLVD
Middletown, OH 45042
(513) 424-7231
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 36D0345132

Jennifer M Ridge MD · Middletown, OH
Active · expires Dec 18, 2026
CLIA Number36D0345132
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorDr. Jennifer M. Ridge
Laboratory Phone(513) 424-7231
Laboratory LocationJennifer M Ridge MD210 N Breiel Blvd, Middletown, OH 45042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 36D2048543

Jennifer M Ridge MD · Oxford, OH
Active · expires Oct 17, 2028
CLIA Number36D2048543
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2026
Certificate Expiration DateOctober 17, 2028
Laboratory DirectorJennifer M. Ridge
Laboratory Phone(513) 424-7231
Laboratory LocationJennifer M Ridge MD10 North Locust Street, Suite B, Oxford, OH 45056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jennifer M Ridge MD Inc's NPI number?

The NPI number for Jennifer M Ridge MD Inc is 1447307194. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Jennifer M Ridge MD Inc located?

Jennifer M Ridge MD Inc is located at 210 N Breiel Blvd, Middletown, OH 45042. The listed phone number is (513) 424-7231.

What is Jennifer M Ridge MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jennifer M Ridge MD Inc enrolled in Medicare?

Yes. Jennifer M Ridge MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer M Ridge MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Jennifer M Ridge MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jennifer M Ridge MD Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Jennifer M Ridge MD Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jennifer M Ridge MD Inc 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 Jennifer M Ridge MD Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.