Individual provider Active NPI

William Elwood Hablitzel, M.D.

  • Internal Medicine Physician
  • West Union, OH
National Provider Identifier
1356393201
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-055464 Issued in OH
Practice address
113 E Mulberry St
West Union, OH 45693-1312
Phone
(937) 544-0400
Fax
(937) 544-0407
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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 35-055464 OH Primary

Addresses

Primary practice location

113 E Mulberry St
West Union, OH 45693-1312

Mailing address

113 E Mulberry St
West Union, OH 45693-1312
Phone (937) 544-0400

Other identifiers 4

IdentifierTypeStateIssuer
200127790MedicaidIN
110038557OtherOHRAIL ROAD MEDICARE
64862121MedicaidKY
0745028MedicaidOH

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
I20051117000002 OH Practitioner - Internal Medicine 4789618380 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-055464OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Auditor CurrentSince Mar 25, 2020 Accepting new patients
University Internal Medicine Associates, Inc. Internal Medicine Past Accepting new patients

Locations

923 Sunrise Ave
West Union, OH 45693
Phone (937) 544-0400

560 Rice Dr
West Union, OH 45693
Phone (937) 544-5547

Organizations & group practices 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1356393201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E MULBERRY ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931312",
            "telephone_number": "937-544-0400",
            "fax_number": "937-544-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E MULBERRY ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931312",
            "telephone_number": "937-544-0400",
            "fax_number": "937-544-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABLITZEL",
        "first_name": "WILLIAM",
        "middle_name": "ELWOOD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-055464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200127790",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110038557",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64862121",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

Verify at the official NPI Registry.