NPIMap

Individual provider Active NPI

Safet O. Hatic II, D.O.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Dayton, OH
National Provider Identifier
1245442987
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
34.009366 Issued in OH
Practice address
4160 Little York Rd
Suite 10
Dayton, OH 45414-5800
Phone
(937) 415-9100
Fax
(937) 415-9191
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 34.009366 OH Primary

Addresses

Primary practice location

4160 Little York Rd
Suite 10
Dayton, OH 45414-5800

Mailing address

PO Box 713130
Cincinnati, OH 45271-0001
Phone (937) 415-9100

Other identifiers 1

IdentifierTypeStateIssuer
3027861MedicaidOH

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
I20100706000437 OH Practitioner - Orthopedic Surgery 0244361384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of SW Ohio IncGroup PAC ID 9638258874, 59 clinicians

Practice addresses (Care Compare)

4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Phone (937) 415-9100

Hospital & facility affiliations

  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

Merit-based Incentive Payment System (MIPS)

Final score
83.43 of 100Reported as group
Quality
70.97
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009366OHMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of S W Ohio Inc, Foot and Ankle Surgery CurrentSince Sep 1, 2011 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Oct 1, 2011 Accepting new patients
Orthopedic Associates of SW Ohio, Inc Foot and Ankle Surgery CurrentSince Sep 1, 2011 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Oct 1, 2011 Accepting new patients
Ohio Foot & Ankle, Inc Foot and Ankle Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

7677 Yankee St
Ste 110
Dayton, OH 45459
Phone (937) 401-6400

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

732 Sweitzer St
Greenville, OH 45331
Phone (937) 316-8046

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

Interoperability endpoints

  • Direct secure messaging: safet.hatic@oaswo.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1245442987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713130",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452710001",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "address_2": "SUITE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATIC",
        "first_name": "SAFET",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OH",
            "license": "34.009366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027861",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.