Individual provider Active NPI

Andrew C Stiff

  • Cardiovascular Disease Physician
  • Lancaster, OH
National Provider Identifier
1053687525
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.139874 Issued in OH
Practice address
2405 N Columbus St Ste 200
Lancaster, OH 43130-8186
Phone
(740) 689-4480
Fax
(740) 277-7692
NPI assigned
Mar 28, 2012
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.139874 OH Primary

Addresses

Primary practice location

2405 N Columbus St Ste 200
Lancaster, OH 43130-8186

Mailing address

1153 E Main St
Lancaster, OH 43130-4056

Other identifiers 1

IdentifierTypeStateIssuer
0409049MedicaidOH

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
I20200723001232 OH Practitioner - Interventional CardiologyPractitioner - Anesthesiology 0941503668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2405 N Columbus St
Suite 200
Lancaster, OH 43130-8186
Phone (740) 689-4480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35.139874OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Aug 3, 2020 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Fairfield Healthcare Professionals Inc Past Accepting new patients

Locations

1153 E Main St
Lancaster, OH 43130
Phone (740) 687-8990

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

2405 N Columbus St
Ste 200
Lancaster, OH 43130
Phone (740) 689-3627

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1053687525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 200",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308186",
            "telephone_number": "740-689-4480",
            "fax_number": "740-277-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIFF",
        "first_name": "ANDREW",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.139874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.