Active NPI
Hazel E Kanu, MD
- Pediatrics Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35065969
- Practice address
- 3301 Beekman St
Millvale Health Center
Cincinnati, OH 45225-1205 - Phone
- (513) 352-3192
- Fax
- (513) 352-3137
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35065969 | OH | Primary |
Addresses
Primary practice location
3301 Beekman St
Millvale Health Center
Cincinnati, OH 45225-1205
Mailing address
3101 Burnet Avenue
Cincinnati, OH 45229-3098
Phone (513) 357-7289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257994 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35065969 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Cincinnati - Board of Health | Current | Accepting new patients | |
| City of Cincinnati | Current | Accepting new patients | |
| City of Cincinnati | Current | Accepting new patients | |
| City of Cincinnati | Current | Accepting new patients | |
| City of Cincinnati | Past | Accepting new patients | |
| City of Cincinnati | Past | Accepting new patients |
Locations
2136 W 8th St
Cincinnati, OH 45204
Phone (513) 357-2700
3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289
3917 Spring Grove Ave
Cincinnati, OH 45223
Phone (513) 357-7421
2030 Fairfax Ave
Cincinnati, OH 45207
Phone (513) 363-7800
2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192
1525 Elm St
Cincinnati, OH 45202
Phone (513) 357-7308
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.
-
- Primary Care Clinic/Center
- Cincinnati, OH
- NPI 1811900061
-
- Primary Care Clinic/Center
- Cincinnati, OH
- NPI 1831102151
-
- Primary Care Clinic/Center
- Cincinnati, OH
- NPI 1902819154
-
- Dental Clinic/Center
- Cincinnati, OH
- NPI 1134275530
-
- Primary Care Clinic/Center
- Cincinnati, OH
- NPI 1770598492
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1952658759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1376529404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 BURNET AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293098",
"telephone_number": "513-357-7289",
"fax_number": "513-352-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 BEEKMAN ST",
"address_2": "MILLVALE HEALTH CENTER",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452251205",
"telephone_number": "513-352-3192",
"fax_number": "513-352-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANU",
"first_name": "HAZEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35065969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257994",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.