Individual provider Active NPI

Hintsa Tewoldemedin, MD

  • Nephrology Physician
  • Newark, OH
National Provider Identifier
1033168554
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35081394T Issued in OH
Practice address
42 Messimer Dr
Newark, OH 43055-1842
Phone
(740) 522-5641
Fax
(740) 522-5642
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35081394T OH Primary

Addresses

Primary practice location

42 Messimer Dr
Newark, OH 43055-1842

Mailing address

42 Messimer Dr
Newark, OH 43055-1842
Phone (740) 522-5641

Other identifiers 1

IdentifierTypeStateIssuer
2521775MedicaidOH

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
I20040913001083 OH Practitioner - Internal MedicinePractitioner - Nephrology 1850368580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1303 W Main St
Newark, OH 43055-1821
Phone (740) 788-8441

Hospital & facility affiliations

  • DaVita Cherry Valley Dialysis Dialysis facility, Newark, OH, CCN 362744
  • DaVita Premiere Kidney Center of Newark Dialysis facility, Newark, OH, CCN 362644
  • Dialyze Direct Beachwood, OH Dialysis facility, Valley View, OH, CCN 362842
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Select Specialty Hospital Southeast Ohio Long-term care hospital, Newark, OH, CCN 362031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081394TOHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Ohio Nephrology and Hypertension LLC Nephrology CurrentSince Mar 6, 2007 Accepting new patients

Locations

1303 W Main St
Newark, OH 43055
Phone (740) 788-8441

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

1910 Tamarack Rd
Newark, OH 43055
Phone (614) 864-8238

2000 Tamarack Rd
Newark, OH 43055
Phone (740) 788-6000

Interoperability endpoints

  • Direct secure messaging: hintsa.tewoldemedhin@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033168554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551842",
            "telephone_number": "740-522-5641",
            "fax_number": "740-522-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551842",
            "telephone_number": "740-522-5641",
            "fax_number": "740-522-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWOLDEMEDIN",
        "first_name": "HINTSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35081394T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521775",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.