NPIMap

Individual provider Active NPI

Suzanne Ruth Hardacre, MD

  • Family Medicine Physician
  • Oxford, OH
National Provider Identifier
1164557575
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35090660 Issued in OH
Practice address
5095 University Park Blvd
Oxford, OH 45056-9384
Phone
(513) 523-2340
Fax
(513) 523-5080
NPI assigned
Feb 23, 2007
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 35090660 OH Primary

Addresses

Primary practice location

5095 University Park Blvd
Oxford, OH 45056-9384

Mailing address

5095 University Park Blvd
Oxford, OH 45056-9384
Phone (513) 523-2340

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address shardacre191421@direct.ketteringhealth.org

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
I20090212000193 OH Practitioner - Family Practice 9537224217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35090660OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Indian Creek Family Hea Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
Baker Family Medicine LLC Family Medicine Past Accepting new patients

Locations

3533 Southern Blvd
Ste 5200
Kettering, OH 45429
Phone (937) 395-8002

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

10 N Locust St
Ste D
Oxford, OH 45056
Phone (513) 523-3234

5095 University Park Blvd
Oxford, OH 45056
Phone (513) 867-1200

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Interoperability endpoints

  • Direct secure messaging: shardacre191421@direct.ketteringhealth.org

Organizations & group practices 6

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 6

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1164557575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 UNIVERSITY PARK BLVD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569384",
            "telephone_number": "513-523-2340",
            "fax_number": "513-523-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 UNIVERSITY PARK BLVD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569384",
            "telephone_number": "513-523-2340",
            "fax_number": "513-523-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDACRE",
        "first_name": "SUZANNE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35090660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10 N Locust St Ste D",
            "city": "Oxford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450561182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shardacre191421@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "10 N Locust St Ste D",
            "city": "Oxford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450561182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.