Individual provider Active NPI

Herman Joseph Kiesler Jr., M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1134196355
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-069304 Issued in OH
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2013770MedicaidOH

Other names 1

  • Herman Joseph Kiesler, Jr. Other name

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
I20180504000893 OH Order and Referring Only - Family PracticePractitioner - Family Practice 3971498049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-069304OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients
Cincinnati Health Network, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.