Active NPI
Tina Sabzevari Kummerle, MD
- Emergency Medicine Physician
- Franklin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35095250
- Practice address
- 1 Medical Center Dr
Franklin, OH 45005-2584 - Phone
- (800) 875-0136
- NPI assigned
- May 9, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35095250 | OH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Franklin, OH 45005-2584
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924000863 | OH | Practitioner - Emergency Medicine | 3375669575 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHS Emergency Billing LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Fairfield Hospitalists Inc | Past | Accepting new patients |
Locations
2400 Lakeview Dr
#150
Beavercreek, OH 45431
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 4
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.
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- Emergency Medicine Physician
- Dayton, OH
- NPI 1578387486
Emergency Medicine, OH
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1386811248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450052584",
"telephone_number": "800-875-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMMERLE",
"first_name": "TINA",
"middle_name": "SABZEVARI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35095250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.