Individual provider Active NPI

Augustine Lavelle Tuma, MD

  • Internal Medicine Physician
  • Lima, OH
National Provider Identifier
1205874815
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.074242 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 226-4310
Fax
(419) 226-4315
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.074242 OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

3170 Kettering Blvd
BLDG B 3Rd Floor
Moraine, OH 45439-4602
Phone (937) 991-3188

Other practice location 1

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466

Other identifiers 3

IdentifierTypeStateIssuer
2068097MedicaidOH
000000392256OtherOHBC/BS OF OHIO
POO86472OtherOHMEDICARE RR

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL atuma3014@direct.premierhealth.com

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
I20060420000001 OH Practitioner - Internal Medicine 8022041300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.89 of 100Reported as group
Quality
83.16
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hisey Physician Services, LLC Internal Medicine CurrentSince Mar 26, 2024 Accepting new patients
Upper Valley Professional Corporation Family Medicine CurrentSince Dec 12, 2018 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine PastSince Oct 8, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
In-House Internist LLC Internal Medicine Past Accepting new patients
In House Internists, Inc Internal Medicine Past Accepting new patients

Locations

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Ste 201
Troy, OH 45373
Phone (937) 208-6630

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1205874815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BLDG B 3RD FLOOR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454394602",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-226-4310",
            "fax_number": "419-226-4315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-440-4466",
            "fax_number": "937-641-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMA",
        "first_name": "AUGUSTINE",
        "middle_name": "LAVELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.074242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068097",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF OHIO",
            "identifier": "000000392256",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "POO86472",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "atuma3014@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "3130 N County Road 25A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453731337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.