Individual provider Active NPI

Ernest Charles Gumprecht, MD

  • Cardiovascular Disease Physician
  • Bucyrus, OH
National Provider Identifier
1114961976
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.132701 Issued in OH
Practice address
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone
(419) 462-4600
Fax
(419) 462-4609
NPI assigned
Jun 15, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 35.132701 OH Primary

Addresses

Primary practice location

629 N Sandusky Ave
Bucyrus, OH 44820-1821

Mailing address

700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 462-4600

Other practice location 1

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 462-4600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address egumprecht799222@direct.osumc.edu
Direct Messaging Address egumprecht799222@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131025000852 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153312038 Reassigns benefits to 1 organization
I20180320002946 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153312038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Washington School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Galion Community HospitalGroup PAC ID 5496737439, shared by 17 NPIs, 40 clinicians

Practice addresses (Care Compare)

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Regional Medical Center Current Accepting new patients
Hampton Regional Medical Center CurrentSince Sep 23, 2013 Accepting new patients
Carolina Regional Heart Center Specialist Past Accepting new patients
High Point Regional Health Past Accepting new patients
Cogent Healthcare of North Carolina, PC Past Accepting new patients
Inland Cardiology Associates, P.S. Cardiovascular Disease PastSince Aug 25, 2014 Accepting new patients
Williamston Clinic Corp Cardiovascular Disease PastSince Sep 5, 2021 Accepting new patients

Locations

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Interoperability endpoints

  • Direct secure messaging: egumprecht799222@direct.osumc.edu

Organizations & group practices 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1114961976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455",
            "telephone_number": "419-462-4600",
            "fax_number": "419-462-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-462-4600",
            "fax_number": "419-462-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332312",
            "country_code": "US",
            "telephone_number": "419-462-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUMPRECHT",
        "first_name": "ERNEST",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.132701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egumprecht799222@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "629 N Sandusky Ave",
            "city": "Bucyrus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448201821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egumprecht799222@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "269 Portland Way S",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448332312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.