Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genevra Addis, MD

Individual provider Hospitalist Physician · NPI 1417489071

Genevra Addis, MD is a Pediatric Medicine in Sandusky, Ohio. Qualified in 2017, 9 years ago. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone: (419) 557-7076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35.139537 (OH)
Hospitalist Physician Taxonomy 208M00000X · Licence 35.139537 (OH)

Record details

NPI number1417489071
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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