Hidetaka Kitazono, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

35.127810 Issued in OH

Practice address

100 Medical Center Dr
Springfield, OH 45504

Phone

(937) 523-2440

Fax

(937) 523-2962

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guam Memorial Hospital Authority Hospital, Tamuning, GU, CCN 650001

Merit-based Incentive Payment System (MIPS)

Final score

88.81 of 100Reported as group

Quality

83.57

Improvement activities

40

Cost

76.16

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment Care Compare group NPD
• Guam Memorial Hospital

  • Skilled Nursing Facility
  • Oka Tamuning, GU
  • NPI 1952479131
  NPD

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

• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Care Compare affiliation

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1033316104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 FOREST LAWN DR APT 3",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454318854",
            "telephone_number": "937-450-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45504",
            "telephone_number": "937-523-2440",
            "fax_number": "937-523-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "45504",
            "country_code": "US",
            "telephone_number": "937-523-2440",
            "fax_number": "937-523-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITAZONO",
        "first_name": "HIDETAKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.127810",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.127810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaine Joseph Kincaid, DDS
• Joan M King, MSN, APRN-CNP
• Tonya King, OT
• Brian Kinnamon
• Jamie Kirkpatrick, M.A., BCBA, COBA
• Suzanne Gayle Kitchen, LPN
• Marin Elise Kitchens, PA-C
• Nicole Kizer
• Jared Klawer, PA
• Leslie A Kleen, LSW

• Hospitalist Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Hospitalist Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.