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

Guillermo David Alfonso Jr., DO

Individual provider Pediatric Radiology Physician · NPI 1124588561

Guillermo David Alfonso Jr., DO is a Pediatric Medicine in Cincinnati, Ohio. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2019, 7 years ago. Practices with Children's Hospital Medical Center, a 716-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
7
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
KY, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone: (513) 636-4200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Rose St, Lexington, KY 40536-3026 — (859) 323-2222

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 34.017009 (OH)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence TP522 (KY)

Record details

NPI number1124588561
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229-3026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2019 (7 years in practice)
Group practice Children'S Hospital Medical Center — 716 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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