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DR. PAUL JOHN CRITSER M.D.
NPI 1811239692
Pediatrics - Pediatric Cardiology in Cincinnat, OH

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE. - ML 2003, CINCINNAT, OH 45229(513) 636-4432(513) 636-3952 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Paul John Critser M.d. NPPES

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

DR. PAUL JOHN CRITSER M.D. (NPI 1811239692) is an individual pediatric cardiology provider in Cincinnat, Ohio, licensed in Ohio (35.131129) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2013).

NPPES Registry Identity

NPI1811239692
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. PAUL JOHN CRITSERCredential: M.D.
Location Address3333 BURNET AVE. - ML 2003Cincinnat, OH 45229-3026
Mailing Address3333 Burnet Ave. - Ml 2003Cincinnat, OH 45229-3026 · (513) 636-4432 · Fax (513) 636-3952
Phone(513) 636-4432
Fax(513) 636-3952
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2013
Enumeration DateMarch 20, 2013
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1811239692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in OH · 35.131129
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 265968 (MA), 35.131129 (OH)
3333 BURNET AVE. - ML 2003, Cincinnat, OH 45229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Dr. Paul John Critser 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 ID8921391129
PECOS Enrollment IDI20210629003679
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.

Other Providers at the Same Location NPPES 2

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

DR. TANYA PERRY D.O.
Pediatrics (Pediatric Critical Care Medicine)
3333 BURNET AVE. - ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
DR. JENNIFER LYNN BARBADORA MD
Pediatrics (Pediatric Cardiology)
3333 BURNET AVE. - ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4200

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 Paul Critser's NPI number?

The NPI number for Paul Critser is 1811239692. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Paul Critser located?

Paul Critser practices at 3333 Burnet Ave. - Ml 2003, Cincinnat, OH 45229. The listed phone number is (513) 636-4432.

What is Paul Critser's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Paul Critser enrolled in Medicare?

Yes. Paul Critser 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 Paul Critser accept?

Health plans from CareSource and MedMutual list Paul Critser 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 Paul Critser was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.