Individual provider Active NPI

David M Lenhof, PAC

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1255383758
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001093 Issued in OH
Practice address
8459 Colerain Ave Unit C
Cincinnati, OH 45239-3938
Phone
(614) 505-7633
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001093 OH Primary

Addresses

Primary practice location

8459 Colerain Ave Unit C
Cincinnati, OH 45239-3938

Mailing address

115 Lakengren Dr
Eaton, OH 45320-2778
Phone (937) 336-5445

Other practice location 1

115 Lakengren Dr
Eaton, OH 45320-2778
Phone (937) 336-5445

Other identifiers 1

IdentifierTypeStateIssuer
0072509MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415001037 OH Practitioner - Physician Assistant 7719972199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

1301 W 1St St
Springfield, OH 45504-1920
Phone (937) 322-6222

6210 Brandt Pike
Huber Heights, OH 45424-4019
Phone (937) 236-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001093OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Jan 18, 2013 Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients
Middletown Emergency Physicians, Inc. Past Accepting new patients

Locations

1430 Oak Ct
Ste 100
Beavercreek, OH 45430
Phone (937) 404-1101

8459 Colerain Ave
Unit C
Cincinnati, OH 45239
Phone (513) 815-3851

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1255383758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LAKENGREN DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453202778",
            "telephone_number": "937-336-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8459 COLERAIN AVE UNIT C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452393938",
            "telephone_number": "614-505-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Lakengren Dr",
            "address_purpose": "LOCATION",
            "city": "Eaton",
            "state": "OH",
            "postal_code": "453202778",
            "country_code": "US",
            "telephone_number": "937-336-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENHOF",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072509",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.