Individual provider Active NPI

John A Eckman, M.D.

  • Allergy & Immunology Physician
  • Montgomery, OH
National Provider Identifier
1083774327
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35. 093231 Issued in OH
Practice address
10597 Montgomery Rd Ste 200
Montgomery, OH 45242-4472
Phone
(513) 793-6861
Fax
(513) 985-2743
NPI assigned
Dec 9, 2006
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35. 093231 OH Primary
Internal Medicine Physician 207R00000X 35 093231 OH
Internal Medicine Physician 207R00000X D62806 MD
Allergy & Immunology (Internal Medicine) Physician 207RA0201X D62806 MD

Addresses

Primary practice location

10597 Montgomery Rd Ste 200
Montgomery, OH 45242-4472

Mailing address

10597 Montgomery Rd Ste 200
Montgomery, OH 45242-4472
Phone (513) 793-6861

Other identifiers 2

IdentifierTypeStateIssuer
409289900MedicaidMD
EC4268931OtherOHMEDICARE PTAN

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
I20090902000155 OH Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2466480165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Associates IncGroup PAC ID 2062427339, 2 clinicians

Practice addresses (Care Compare)

10597 Montgomery Rd
Suite 200
Montgomery, OH 45242-0230
Phone (513) 793-6861

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35. 093231OHMDAllergy & Immunology Physician
35 093231OHMDInternal Medicine Physician
D62806MDMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates Inc Allergy & Immunology CurrentSince Oct 1, 2012 Accepting new patients
R Carter Bobbitt MD Inc Allergy & Immunology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10597 Montgomery Rd
Ste 200
Montgomery, OH 45242
Phone (513) 793-6861

7144 Office Park Dr
West Chester, OH 45069
Phone (513) 793-6861

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 2

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1083774327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10597 MONTGOMERY RD STE 200",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424472",
            "telephone_number": "513-793-6861",
            "fax_number": "513-985-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10597 MONTGOMERY RD STE 200",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424472",
            "telephone_number": "513-793-6861",
            "fax_number": "513-985-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35. 093231",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35 093231",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D62806",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MD",
            "license": "D62806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409289900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EC4268931",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.