Individual provider Active NPI

Thomas W. Hirt, MD

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1174580187
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-3620-H Issued in OH
Practice address
6551 Centerville Business Pkwy Ste 100
Dayton, OH 45459-2696
Phone
(937) 291-6830
Fax
(937) 291-6893
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 35-08-3620-H OH Primary

Addresses

Primary practice location

6551 Centerville Business Pkwy Ste 100
Dayton, OH 45459-2696

Mailing address

25 Merchant Street
Suite 220
Cincinnati, OH 45246-3740
Phone (513) 533-6507

Other identifiers 1

IdentifierTypeStateIssuer
2475496MedicaidOH

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
I20040715001462 OH Practitioner - Family Practice 5890774574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Integrated Medical Assoc LTDGroup PAC ID 9032101399, 21 clinicians

Practice addresses (Care Compare)

6551 Centerville Business Pkwy
Suite 100
Dayton, OH 45459-2686
Phone (937) 291-6830

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Integrated Medical Assoc LTD Family Medicine CurrentSince May 1, 2020 Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine CurrentSince May 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2322 Lakeview Dr
Beavercreek, OH 45431
Phone (937) 424-5986

25 Merchant St
Ste 220
Cincinnati, OH 45246

6551 Centerville Business Pkwy
Ste 100
Dayton, OH 45459
Phone (937) 291-6830

6551 Centerville Business Pkwy
Ste 110
Dayton, OH 45459
Phone (937) 291-6850

3080 Ackerman Blvd
Ste 220
Kettering, OH 45429
Phone (937) 294-3228

1900 Composite Dr
Kettering, OH 45420
Phone (937) 293-8419

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1174580187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MERCHANT STREET",
            "address_2": "SUITE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463740",
            "telephone_number": "513-533-6507",
            "fax_number": "513-645-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 CENTERVILLE BUSINESS PKWY STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592696",
            "telephone_number": "937-291-6830",
            "fax_number": "937-291-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRT",
        "first_name": "THOMAS",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-3620-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2475496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.