NPIMap

Individual provider Active NPI

Charles V. Kratz, M.D.

  • Family Medicine Physician
  • West Liberty, OH
National Provider Identifier
1164458410
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35070194 Issued in OH
Practice address
4879 US Highway 68 S
West Liberty, OH 43357-9525
Phone
(937) 599-1411
Fax
(937) 599-4128
NPI assigned
Jun 25, 2006
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 35070194 OH Primary

Addresses

Primary practice location

4879 US Highway 68 S
West Liberty, OH 43357-9525

Mailing address

4879 US Highway 68 S
West Liberty, OH 43357-9525
Phone (937) 599-1411

Other identifiers 1

IdentifierTypeStateIssuer
0239521MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.kratz@chwplc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000472 OH Practitioner - Family Practice 5294775078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

212 E Columbus Ave
Suite 1
Bellefontaine, OH 43311-2033
Phone (937) 599-1411

4879 US RT 68
West Liberty, OH 43357-9525
Phone (937) 599-1411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health & Wellness Partners of Logan County CurrentSince Mar 1, 2016 Accepting new patients
Community Health & Wellness Partners of Logan County CurrentSince Mar 1, 2016 Accepting new patients
Mary Rutan Hospital Family Medicine Past Accepting new patients
West Liberty Care Center, Inc. Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
West Liberty Care Center Inc Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients

Locations

212 E Columbus Ave
Ste 1
Bellefontaine, OH 43311
Phone 9375991411310

4560 County Road 26
Ste 2
Bellefontaine, OH 43311

8920 County Road 91
Ste 2
Lewistown, OH 43333

8200 State Route 366
Ste 1
Russells Pt, OH 43348
Phone (937) 633-0071

605 Miami St
Ste 100
Urbana, OH 43078

4879 US Highway 68 S
West Liberty, OH 43357
Phone (937) 599-5175

7208 US Highway 68 N
Ste 2
West Liberty, OH 43357

Interoperability endpoints

  • Direct secure messaging: charles.kratz@chwplc.eclinicaldirectplus.com
  • Direct secure messaging: joel_kauffman@oakhill.amazing-direct.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Otterbein Green HillsWest Liberty, OH, CCN 365362 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 23, 2024
Dec 23, 2024
Otterbein Universal Home Health & HospiceBellefontaine, OH, CCN 361550 Hospice W-2 Managing Employee Mar 10, 2010

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 7

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1164458410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579525",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579525",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATZ",
        "first_name": "CHARLES",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35070194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239521",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.kratz@chwplc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4879 US Highway 68 S",
            "city": "West Liberty",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433579525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Liberty, OH

Sources for this page

Verify at the official NPI Registry.