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DEMA ATOUM M.D.
NPI 1609286905
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Cincinnati, OH

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE, MLC 4008, CINCINNATI, OH 45229(913) 713-3060 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dema Atoum M.d. NPPES

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

DEMA ATOUM M.D. (NPI 1609286905) is an individual pediatric ophthalmology and strabismus specialist in Cincinnati, Ohio, licensed in Ohio (35.143931) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1609286905
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameDEMA ATOUMCredential: M.D.
Location Address3333 BURNET AVE, MLC 4008Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Mlc 4008Cincinnati, OH 45229-3026 · (913) 713-3060
Phone(913) 713-3060
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 7, 2014
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1609286905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in OH · 35.143931
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 57.022371 (OH)
3333 BURNET AVE, Cincinnati, OH 45229
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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.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

Dema Atoum 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 ID2567857170
PECOS Enrollment IDI20220317002041
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 Dema Atoum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

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 45229 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 20

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

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Dema Atoum's NPI number?

The NPI number for Dema Atoum is 1609286905. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Dema Atoum located?

Dema Atoum practices at 3333 Burnet Ave Mlc 4008, Cincinnati, OH 45229. The listed phone number is (913) 713-3060.

What is Dema Atoum's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Dema Atoum enrolled in Medicare?

Yes. Dema Atoum 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 Dema Atoum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dema Atoum reassigns Medicare benefits to Children's Hospital Medical 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 Dema Atoum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dema Atoum accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Dema Atoum 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 Dema Atoum was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.