Individual provider Active NPI

Hazel E Kanu, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1376529404
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35065969 Issued in OH
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

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
257994MedicaidOH

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
I20140306000868 OH Practitioner - Pediatric Medicine 2567692841 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065969OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati - Board of Health CurrentSince May 17, 2014 Accepting new patients
City of Cincinnati CurrentSince May 17, 2014 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.

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

Verify at the official NPI Registry.