Individual provider Active NPI

Kevin K Hill, M.D.

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1063408177
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071991H Issued in OH
Practice address
201 Dueber Ave SW
Canton, OH 44706-1164
Phone
(330) 453-4000
Fax
(330) 456-2866
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35071991H OH Primary

Addresses

Primary practice location

201 Dueber Ave SW
Canton, OH 44706-1164

Mailing address

201 Dueber Ave SW
Canton, OH 44706-1164
Phone (330) 453-4000

Other identifiers 2

IdentifierTypeStateIssuer
110178787OtherRAILROAD MEDICARE
2088575MedicaidOH

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
I20100830000579 OH Practitioner - Internal Medicine 1355465253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aultman North Canton Medical GroupGroup PAC ID 4082605266, 48 clinicians

Practice addresses (Care Compare)

2600 Tuscarawas St W
Suite 440
Canton, OH 44708-4698
Phone (330) 453-4000

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071991HOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman North Canton Medical Group CurrentSince Jan 1, 2016 Accepting new patients
North Canton Medical Foundation Past Accepting new patients

Locations

2600 6th St SW
Rm H2672
Canton, OH 44710
Phone (330) 305-0136

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 Tuscarawas St W
Ste 440
Canton, OH 44708
Phone (330) 452-3266

201 Dueber Ave SW
Canton, OH 44706
Phone (330) 453-4000

2600 6th St SW
Rm H2
Canton, OH 44710

201 Dueber Ave SW
Ste 300
Canton, OH 44706

Interoperability endpoints

  • Direct secure messaging: kevin.hill@direct.aultman.org

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.

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1063408177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DUEBER AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447061164",
            "telephone_number": "330-453-4000",
            "fax_number": "330-456-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DUEBER AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447061164",
            "telephone_number": "330-453-4000",
            "fax_number": "330-456-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KEVIN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071991H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110178787",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2088575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.