OrganizationActive
Lebanon Medical Center, Inc
NPI 1295717601 · Internal Medicine Physician · Lebanon, OH
Provider details
- NPI number
- 1295717601
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Madhumathi Kosaraju, President(513) 228-1666
- License
- 207R00000X (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
990 Belvedere Dr Ste a
Lebanon, OH 45036-2890
Phone: (513) 228-1666
Fax: (513) 228-1555
Street-level locationGet directions
Mailing address
7661 Brookfarm Ct
Mason, OH 45040-7027
Other names (DBA / former)
- Doing business as
- Lebanon Medical Center, Inc.
Registry dates
- Enumerated
- 2005-11-20
- Last updated
- 2012-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.