Individual provider Active NPI

Howard P Sutcliffe, PA-C

  • Physician Assistant
  • Hamilton, OH
National Provider Identifier
1407819790
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-001518 Issued in OH
Practice address
840 NW Washington Blvd
Ste. a
Hamilton, OH 45013-6384
Phone
(513) 867-5770
Fax
(513) 737-2468
NPI assigned
Apr 9, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-001518 OH Primary

Addresses

Primary practice location

840 NW Washington Blvd
Ste. a
Hamilton, OH 45013-6384

Mailing address

840 NW Washington Blvd
Ste. a
Hamilton, OH 45013-6384
Phone (513) 867-5770

Other practice location 1

1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone (513) 454-1111

Other identifiers 2

IdentifierTypeStateIssuer
000000325954OtherOHANTHEM
0069963MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hsutcliffe587458@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000087 OH Practitioner - Physician Assistant 2567360639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler County Community Health Consortium IncGroup PAC ID 7810884780, shared by 19 NPIs, 56 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone (513) 454-1111

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

903 NW Washington Blvd
Suite a
Hamilton, OH 45013-6367
Phone (513) 454-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50-001518OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Dec 28, 2016 Accepting new patients
Alliance Physicians Inc CurrentSince Apr 24, 2017 Accepting new patients
Northcoast Pathology Associates, Inc Current Accepting new patients
Alliance Physicians, Inc. CurrentSince Apr 24, 2017 Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients

Locations

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

2449 Ross Millville Rd
Ste 270
Hamilton, OH 45013
Phone (513) 738-3900

840 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 867-4165

3700 Southern Blvd
Ste 300
Kettering, OH 45429
Phone (937) 395-8002

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Interoperability endpoints

  • Direct secure messaging: howard.sutcliffe.p5@direct.myprimaryhealth.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1407819790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD",
            "address_2": "STE. A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136384",
            "telephone_number": "513-867-5770",
            "fax_number": "513-737-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD",
            "address_2": "STE. A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136384",
            "telephone_number": "513-867-5770",
            "fax_number": "513-737-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 S Verity Pkwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450445513",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "fax_number": "513-737-1592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTCLIFFE",
        "first_name": "HOWARD",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-001518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000325954",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069963",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsutcliffe587458@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "840 NW Washington Blvd",
            "address_2": "Ste. A",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450136384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "840 NW Washington Blvd",
            "address_2": "Ste. A",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450136384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.