UMAMA GORSI MD
NPI 1679914022
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Cincinnati, OH

Q: What is Umama Gorsi's NPI number?

The NPI number for Umama Gorsi is 1679914022. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Q: What is Umama Gorsi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Umama Gorsi was last updated on April 19, 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.

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment

78.78/100

CMS Quality Rating

222 PIEDMONT AVE, CINCINNATI, OH 45219(513) 475-8521(513) 584-0312 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2022, Nov 22, 2021, Mar 27, 2017 (3 updates tracked since 2017).

On this page

About Umama Gorsi Md NPPES

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

UMAMA GORSI MD (NPI 1679914022) is an individual advanced heart failure and transplant cardiology provider in Cincinnati, Ohio, licensed in Ohio (35.143711) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1679914022

Entity TypeIndividualFemale

Primary Taxonomy207RA0001X

Provider Legal NameUMAMA GORSICredential: MD

Location Address222 PIEDMONT AVECincinnati, OH 45219-4231

Mailing Address1805 Quarry Ridge Pl Nw, Apartment Number 155Rochester, MN 55901-0857 · (213) 304-7120

Phone(513) 475-8521

Fax(513) 584-0312

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 15, 2013

Last NPPES UpdateApril 19, 20223 updates tracked since enumeration

NPPES CertifiedApril 19, 2022

✔ NPI 1679914022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in OH · 35.143711

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License LP02883 (RI)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 61542 (MN)

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

222 PIEDMONT AVE, Cincinnati, OH 45219

Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Umama Gorsi 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 ID4688803372

PECOS Enrollment IDI20211201000542, I20251014000200

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 11

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 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.

255 services214 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.

51 services51 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

51 services16 patients

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

28 services28 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.

23 services23 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.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210002

Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County

Emergency services Birthing friendly

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

Quality

70.42

Promoting Interoperability

100

Improvement Activities

Cost

58.86

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.

BERNICE K KLABEN PH.D.-CCC-SLP-BRS-S

Speech-Language Pathologist

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-8400

BARBARA RUTH CUNNINGHAM RN

Allergy & Immunology (Clinical & Laboratory Immunology)

222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219

Hamilton County (513) 475-8400

MRS. CHERYL DOREEN HERRLE CNP

Nurse Practitioner (Gerontology)

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-7400

REBECCA HARDT CNP

Nurse Practitioner (Adult Health)

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-7505

MRS. RONDA BAUER

Licensed Practical Nurse

222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219

Hamilton County (513) 475-7363

CARRIE LYNN JENNINGS CNP

Nurse Practitioner (Family)

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-7505

ALBERTO ESPAY MD

Psychiatry & Neurology (Neurology)

222 PIEDMONT AVE, SUITE 3200
CINCINNATI, OH 45219

Hamilton County (513) 475-8730

GREGORY WAYNE ROUAN M.D.

Internal Medicine

222 PIEDMONT AVE, STE 6000
CINCINNATI, OH 45219

Hamilton County (513) 475-7880

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 Umama Gorsi's NPI number?

The NPI number for Umama Gorsi is 1679914022. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Umama Gorsi located?

Umama Gorsi practices at 222 Piedmont Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8521.

What is Umama Gorsi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Umama Gorsi enrolled in Medicare?

Yes. Umama Gorsi 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 Umama Gorsi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Umama Gorsi 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 Umama Gorsi affiliated with any hospitals?

According to CMS data, Umama Gorsi is affiliated with University Of Maryland Medical Center and University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Umama Gorsi was last updated on April 19, 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.