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Dissirama A Betimbena , SOLE MBR

Physician β€’ Cincinnati, OH

Active NPI 1508682071 Individual Practitioner
Practice location in NPPES

11260 Chester Rd Fl 7
Cincinnati, OH 452464048

Call 5137470460 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11260 Chester Rd Fl 7

Cincinnati, OH 452464048

Telephone 5137470460
Organization at the Same NPPES Address or Phone
Caring With A Purpose Home Care Llc Facility NPI 1780342725

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-18
Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

License # reported to NPPES OH 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Prosthetic/Orthotic Supplier

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Prosthetic/Orthotic Supplier

NUCC Taxonomy Code: 335E00000X

License # reported to NPPES OH 29BYIDRXDQ

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Prosthetic/Orthotic Supplier

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 18, 2025

Recorded as DISSIRAMA BETIMBENA, SOLE MBR

βœ…
NPI Profile Active November 29, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 29, 2024

Registered at 11260 CHESTER RD FL 7, CINCINNATI, OH 452464048 (Tel: 5137470460)

πŸ“
Business Mailing Address (Initial Record) November 29, 2024

Registered at 11260 CHESTER RD FL 7, CINCINNATI, OH 452464048 (Tel: 5137470460)

πŸ‘€
Provider Name / Credentials (Initial Record) November 29, 2024

Recorded as DISSIRAMA A BETIMBENA, CRANIAL PROTHESIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2024

Prosthetic/Orthotic Supplier

🟒
Initial NPI Registration & Enumeration November 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508682071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2024
Last Update: April 18, 2025
Sole Proprietor: Yes

Mailing Address

11260 Chester Rd Fl 7

Cincinnati, OH 452464048

Phone: 5137470460

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.