NPIMap

Michael Edward Dietz, DO

Individual provider Active NPI Family Medicine Physician · New Richmond, OH

NPI 1326199829 · NPPES record last updated Sep 10, 2020

Key facts

NPI
1326199829
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
34.005088 (OH)
Practice address
100 River Valley Blvd.
New Richmond, OH 45157
Phone
(513) 553-3114
Fax
(513) 553-1032
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsource of Ohio Inc (56 clinicians)

Practice addresses (Care Compare)

100 River Valley Blvd
New Richmond, OH 45157-8566
Phone (513) 553-3114

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency · Cincinnati, OH · CCN 367167
  • Mercy Health-Anderson Hospital Hospital · Cincinnati, OH · CCN 360001
  • Mercy Health - Clermont Hospital Hospital · Batavia, OH · CCN 360236

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20071113000213 OH Practitioner - Family Practice 3274621008 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2265OHMDRegistered Dietitian
5088OHMDRegistered Dietitian
34.005088OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Ohio, Inc. Family Medicine Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current
since Oct 29, 2007		 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current
since Oct 29, 2007		 Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
L&J Healthcare, LLC Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Benton Center Past Accepting new patients

Locations

2055 Hospital Dr
Ste 130
Batavia, OH 45103
Phone (513) 732-0700

631 E State St
Georgetown, OH 45121
Phone (937) 378-6387

6535 Charles Snider Rd
Goshen, OH 45140
Phone (513) 575-1444

1108 Northview Dr
Ste 1
Hillsboro, OH 45133
Phone (937) 393-5781

1231 Columbus Ave
Unit A1
Lebanon, OH 45036
Phone (513) 695-4495

424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041

150 Health Partners Cir
Mount Orab, OH 45154
Phone (937) 444-2514

6131 Campus Ln
Mt Washington, OH 45230
Phone (513) 732-5088

1050 Old US Highway 52
New Richmond, OH 45157
Phone (513) 553-3114

100 River Valley Blvd
New Richmond, OH 45157
Phone (513) 553-3114

218 Stern Rd
Seaman, OH 45679
Phone (937) 378-3633

308 Highland Ave
Washington Court House, OH 43160
Phone (740) 335-2271

312 Highland Ave
#H
Washington Court House, OH 43160
Phone (740) 335-8608

140 W Main St
Wilmington, OH 45177
Phone (937) 481-2930

Interoperability endpoints

  • Direct secure messaging: michael.dietzdo.p1@direct.hsohio.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.005088 OH Yes

Addresses

Primary practice location

100 River Valley Blvd.
New Richmond, OH 45157

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041

Other identifiers

IdentifierTypeStateIssuer
2788649MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 10, 2020.

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1326199829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER VALLEY BLVD.",
            "city": "NEW RICHMOND",
            "state": "OH",
            "postal_code": "45157",
            "telephone_number": "513-553-3114",
            "fax_number": "513-553-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.005088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2788649",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, OH

All providers in New Richmond, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.