Individual provider Active NPI

Poonam Singh, MD

  • Pediatrics Physician
  • Hillsboro, OH
National Provider Identifier
1013103696
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41726 Issued in KY
Practice address
1402 N High St
Hillsboro, OH 45133-8514
Phone
(937) 393-4899
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP20027448 TX
Pediatrics Physician 208000000X 41726 KY Primary

Addresses

Primary practice location

1402 N High St
Hillsboro, OH 45133-8514

Mailing address

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

Other identifiers 1

IdentifierTypeStateIssuer
7100040140MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005000218 OH Practitioner - Pediatric Medicine 3870671100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41726KYMDPediatrics Physician
BP20027448TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Health Providers Corp CurrentSince Aug 13, 2018 Accepting new patients
Highland Health Providers Corp CurrentSince Aug 13, 2018 Accepting new patients

Locations

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1487 N High St
Ste 102
Hillsboro, OH 45133
Phone (937) 393-3406

1402 N High St
Hillsboro, OH 45133
Phone (937) 393-4899

Interoperability endpoints

  • Direct secure messaging: spoonam404021@direct.trihealth.com
  • Direct secure messaging: poonamsingh@hhproviders.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1013103696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338514",
            "telephone_number": "937-393-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "POONAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP20027448",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "41726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100040140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.