Individual provider Active NPI

Rick Lee Hum, M.D.

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1063780799
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035061842 Issued in OH
Practice address
6570 Sosna Dr
Fairfield, OH 45014-2222
Phone
(513) 892-4673
Fax
(513) 860-1439
NPI assigned
Dec 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 035061842 OH Primary

Addresses

Primary practice location

6570 Sosna Dr
Fairfield, OH 45014-2222

Mailing address

100 Crowne Point PL
Cincinnati, OH 45241-5427
Phone (513) 743-7628

Other practice location 1

935 State Route 28
Milford, OH 45150-1957
Phone (513) 831-5955

Other identifiers 1

IdentifierTypeStateIssuer
0058589MedicaidOH

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
I20120206000259 OH Practitioner - Internal Medicine 1658538582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decoach Team LLCGroup PAC ID 7517244551, 16 clinicians

Practice addresses (Care Compare)

1620 Harrison Ave
Cincinnati, OH 45214-1410
Phone (513) 914-4673

2172 US Route 127 N
Eaton, OH 45320-9289
Phone (937) 792-4673

302 W Main St
Fairborn, OH 45324-5037
Phone (937) 281-4673

6570 Sosna Dr
Fairfield, OH 45014-2222
Phone (513) 942-4673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035061842OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Dec 1, 2021 Accepting new patients
Decoach Team LLC CurrentSince Feb 21, 2021 Accepting new patients
Thomas V Sargero, MD, LLC Internal Medicine PastSince Jan 4, 2026 Accepting new patients

Locations

1620 Harrison Ave
Cincinnati, OH 45214
Phone (513) 892-4673

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

865 S Patterson Blvd
Dayton, OH 45402
Phone (937) 966-4673

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

6570 Sosna Dr
Fairfield, OH 45014
Phone (513) 942-4673

3103 Dixie Hwy
Hamilton, OH 45015
Phone (513) 892-4673

3290 Village Dr
Middletown, OH 45005
Phone (513) 422-7703

100 Crowne Point Pl
Sharonville, OH 45241
Phone (513) 743-7628

360 Glensprings Dr
Springdale, OH 45246
Phone (513) 671-5050

36 N Detroit St
Ste 105
Xenia, OH 45385
Phone (513) 942-4673

Organizations & group practices 4

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1063780799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROWNE POINT PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452415427",
            "telephone_number": "513-743-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 SOSNA DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142222",
            "telephone_number": "513-892-4673",
            "fax_number": "513-860-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451501957",
            "country_code": "US",
            "telephone_number": "513-831-5955",
            "fax_number": "513-831-5985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUM",
        "first_name": "RICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "035061842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.