Active NPI
Herman Joseph Kiesler Jr., M.D.
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1134196355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-069304
- Practice address
- 1295 Kemper Meadow Dr
Cincinnati, OH 45240-1633 - Phone
- (513) 648-9077
- Fax
- (513) 648-9554
- NPI assigned
- Mar 7, 2006
- Last updated
- May 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-069304 | OH | Primary |
Addresses
Primary practice location
1295 Kemper Meadow Dr
Cincinnati, OH 45240-1633
Mailing address
2830 Victory Pkwy Ste 120
Cincinnati, OH 45206-1786
Phone (513) 245-3052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013770 | Medicaid | OH |
Other names 1
- Herman Joseph Kiesler, Jr.
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180504000893 | OH | Order and Referring Only - Family Practice | 3971498049 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-069304 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Family Medicine | Past | Accepting new patients |
| Cincinnati Health Network, Inc | Past | Accepting new patients |
Interoperability endpoints
- herman.kiesler.1@15958.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1750655478
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1609842087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1134196355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PKWY STE 120",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061786",
"telephone_number": "513-245-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 KEMPER MEADOW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452401633",
"telephone_number": "513-648-9077",
"fax_number": "513-648-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESLER",
"first_name": "HERMAN",
"middle_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-069304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013770",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HERMAN",
"last_name": "KIESLER, JR.",
"middle_name": "JOSEPH",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.