OrganizationActive
Ageless Medica LLC
NPI 1558937730 · Adult Medicine Physician · Cincinnati, OH
Provider details
- NPI number
- 1558937730
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shri Rao, President(937) 544-4020
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
11841 Mason Montgomery Rd
Cincinnati, OH 45249-1748
Phone: (937) 544-4020
Fax: (937) 544-4009
Street-level locationGet directions
Mailing address
11841 Mason Montgomery Rd
Cincinnati, OH 45249-1748
Registry dates
- Enumerated
- 2021-05-28
- Last updated
- 2021-05-28
- Certified
- 2021-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.