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HEALTHSOURCE OF OHIO, INC.
NPI 1780701417
Clinic/Center - Primary Care in Cincinnati, OH

Active since March 26, 2007
4627 AICHOLTZ RD, CINCINNATI, OH 45244(513) 753-2820(513) 753-2824 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, Sep 18, 2024, Apr 30, 2019 (3 updates tracked since 2019).

About Healthsource Of Ohio, Inc. NPPES

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

HEALTHSOURCE OF OHIO, INC. (NPI 1780701417), doing business as Healthsource: Eastgate Pediatrics, is a healthcare organization registered as a primary care in Cincinnati, Ohio and active in the NPI registry since March 2007. The organization lists Joseph W Prather Ii, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780701417
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTHSOURCE OF OHIO, INC.
Location Address4627 AICHOLTZ RDCincinnati, OH 45244-1447
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4011 · Fax (513) 576-1020
Phone(513) 753-2820
Fax(513) 753-2824
Organization SubpartNo
Authorized OfficialJoseph W Prather IiCeo · (513) 707-4041
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1780701417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4627 AICHOLTZ RD, Cincinnati, OH 45244
Open in Google Maps ↗

Other Names 1

Doing Business AsHealthsource: Eastgate Pediatrics

Other Identifiers 1

Medicaid0300966OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Healthsource Of Ohio, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

79

Medicare enrollment records show 79 clinicians reassign Medicare billing to Healthsource Of Ohio, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner28
Family Practice14
Dentist11
Pediatric Medicine8
Clinical Psychologist6
Obstetrics/Gynecology6
Internal Medicine2
Optometry2
2 other specialties2

Nearest to this location (20)

See all 79
Shana Alexander, M.D.
Pediatric Medicine
NPI 1841408358
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2820
✔ PECOSSame address
Helena Herman, MD
Pediatric Medicine
NPI 1922539782
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2820
✔ PECOSSame address
Cara Killgore, MD
Pediatric Medicine
NPI 1609826353
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2820
✔ PECOSSame address
Rebekah Long, M.D.
Pediatric Medicine
NPI 1396725644
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2820
✔ PECOSSame address
Tanya Sackrider, DDS
Dentist
NPI 1255546503
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2821
✔ PECOSSame address
Amanda Solar, OD
Optometry
NPI 1912169970
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 928-9730
✔ PECOS✔ Accepts MedicareSame address
Ivanna Soto, DDS
Dentist
NPI 1295629640
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2820
✔ PECOSSame address
Myanh Cong, DDS
Dentist
NPI 1235230855
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-5282
✔ PECOSSame address
Ashley Cunningham, DO
Family Practice
NPI 1407318579
6131 CAMPUS LN
Cincinnati, OH 45230
(513) 231-5088
✔ PECOS✔ Accepts Medicare5.0 mi
Ciara Incorvati, PSYD
Clinical Psychologist
NPI 1174480420
2055 HOSPITAL DR STE 130
Batavia, OH 45103
(513) 732-0870
✔ PECOS✔ Accepts Medicare8.0 mi
Roger Chang, M.D.
Family Practice
NPI 1891775250
2055 HOSPITAL DRIVE SUITE 130
Batavia, OH 45103
(513) 732-0870
✔ PECOS✔ Accepts Medicare8.1 mi
Sherry Johnson, DO
Obstetrics/Gynecology
NPI 1669463527
2055 HOSPITAL DR STE 220
Batavia, OH 45103
(513) 732-0870
✔ PECOS✔ Accepts Medicare8.1 mi
Megan Whitely
Nurse Practitioner
NPI 1497356968
2055 HOSPITAL DR STE 130
Batavia, OH 45103
(513) 732-0870
✔ PECOS✔ Accepts Medicare8.1 mi
Joseph Fluegemann
Dentist
NPI 1811720527
455 WARDS CORNER RD STE 200
Loveland, OH 45140
(513) 688-8580
✔ PECOS8.2 mi
Brittney Garrigus, FNP
Nurse Practitioner
NPI 1891450391
455 WARDS CORNER RD STE 200
Loveland, OH 45140
(513) 576-7700
✔ PECOS✔ Accepts Medicare8.2 mi
Holly Binnig, MD
Family Practice
NPI 1609805589
424 WARDS CORNER RD STE 200
Loveland, OH 45140
(513) 707-4041
✔ PECOS✔ Accepts Medicare8.2 mi
Jeremy Whitaker, LISW
Mental Health Counselor
NPI 1144736059
100 RIVER VALLEY BLVD
New Richmond, OH 45157
(513) 553-3114
✔ PECOS✔ Accepts Medicare9.3 mi
Michael Bruner, PSYD
Clinical Psychologist
NPI 1215380498
6535 SNIDER RD
Loveland, OH 45140
(513) 575-1444
✔ PECOS✔ Accepts Medicare9.7 mi
Thomas Meyers, MD
Internal Medicine
NPI 1730188178
6535 CHARLES SNIDER RD
Loveland, OH 45140
(513) 575-1444
✔ PECOS✔ Accepts Medicare9.7 mi
Hannah Dearworth, DO
Obstetrics/Gynecology
NPI 1942865811
6535 CHARLES SNIDER RD
Goshen, OH 45140
(513) 474-2870
✔ PECOS✔ Accepts Medicare9.7 mi
See all 79 clinicians

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

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 Healthsource Of Ohio, Inc.'s NPI number?

The NPI number for Healthsource Of Ohio, Inc. is 1780701417. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as HealthSource: Eastgate Pediatrics.

Where is Healthsource Of Ohio, Inc. located?

Healthsource Of Ohio, Inc. is located at 4627 Aicholtz Rd, Cincinnati, OH 45244. The listed phone number is (513) 753-2820.

What is Healthsource Of Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Healthsource Of Ohio, Inc. enrolled in Medicare?

Yes. Healthsource Of Ohio, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of Ohio, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 10 Medicare specialties reassign their Medicare billing to Healthsource Of Ohio, 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. The largest specialties are Nurse Practitioner (28), Family Practice (14) and Dentist (11). Of these, 8 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthsource Of Ohio, Inc. accept?

Health plans from Molina Healthcare list Healthsource Of Ohio, 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 Healthsource Of Ohio, Inc. was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.