Individual provider Active NPI

Kevin L Hornbeck, DO

  • Internal Medicine Physician
  • Lima, OH
National Provider Identifier
1366434268
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34005321 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 226-4310
Fax
(419) 226-4315
NPI assigned
Aug 17, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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 34005321 OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7102
Phone (419) 251-2032

Other identifiers 3

IdentifierTypeStateIssuer
0420471OtherUHC
000000077070OtherANTHEM
0869074MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060821000047 OH Practitioner - Internal Medicine 0840293460 Reassigns benefits to 4 organizations
I20220721001974 FL Practitioner - Internal Medicine 0840293460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

730 W Market St
Lima, OH 45801-4602
Phone (419) 224-1888

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Kindred Hospital Lima Long-term care hospital, Lima, OH, CCN 362020

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34005321OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Sep 13, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Jan 20, 2024 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Sep 13, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 1, 2022 Accepting new patients
Dayton Chest Medicine Inc CurrentSince Jun 1, 2006 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 1, 2022 Accepting new patients
KND Development 59, LLC CurrentSince Jan 20, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Molina Care Connections, LLC. CurrentSince Aug 8, 2019 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Miami Valley Emergency Specialists, LLC Past Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

3080 Ackerman Blvd
Ste 100
Kettering, OH 45429
Phone (937) 396-1605

770 W High St
Lima, OH 45801
Phone (419) 996-5240

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

Interoperability endpoints

  • Direct secure messaging: khornbeck603227@direct.shands.ufl.edu

Organizations & group practices 16

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 16

Hospital & facility affiliations 6

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1366434268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102",
            "telephone_number": "419-251-2032",
            "fax_number": "419-251-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-226-4310",
            "fax_number": "419-226-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBECK",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2018-05-08",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34005321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0420471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000077070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0869074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.