Active NPI
Lothar Michael Gebauer, M.D.
- Internal Medicine Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M-13070
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 298-4331
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.088965 | OH | |
| Hospitalist Physician | 208M00000X | M-13070 | ID | |
| Hospitalist Physician | 208M00000X | ME98984 | FL | |
| Internal Medicine Physician | 207R00000X | M-13070 | ID | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3617 Tait Rd
Dayton, OH 45439-2533
Phone (937) 684-4857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023995600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500
1796 US Hwy 441 N
Raulerson Hospital
Okeechobee, FL 34972-1918
Phone (863) 763-2151
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000
340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000
3600 S Highlands Ave
Sebring, FL 33870-5416
Phone (863) 385-6101
524 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 983-9121
Hospital & facility affiliations
- HCA Florida Highlands Hospital
- HCA Florida Lawnwood Hospital
- Portsmouth Regional Hospital
- Hendry Regional Medical Center
- Frisbie Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.088965 | OH | MD | Internal Medicine Physician |
| ME98984 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Hospitalist | Current | Accepting new patients |
| Hospital Medicine Services of FL, LLC | Hospitalist | Current | Accepting new patients |
| Hospital Medicine Services of NH, LLC | Hospitalist | Current | Accepting new patients |
| Adventhealth Primary Care Network Inc | Internal Medicine | Past | Accepting new patients |
| Fairfield Hospitalists Inc | Internal Medicine | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198
3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- lothar.gebauer@xdr.hhchealthdirect.org
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Hospitalist Physician
- Derry, NH
- NPI 1548967607
-
- Hospitalist Physician
- Clewiston, FL
- NPI 1841708005
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Hospitalist
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1508900226
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NH
- NPI 1689215030
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- Critical Access Hospital
- Clewiston, FL
- NPI 1215960315
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1215078696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 TAIT RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454392533",
"telephone_number": "937-684-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-298-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBAUER",
"first_name": "LOTHAR",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.088965",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ID",
"license": "M-13070",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME98984",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "M-13070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023995600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.