Active NPI
Nicklaus James Hess, D.O.
- Family Medicine Physician
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.011069
- Practice address
- 1023 S Main St Ste 200
Centerville, OH 45458-4358 - Phone
- (937) 436-3117
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.011069 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1023 S Main St Ste 200
Centerville, OH 45458-4358
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
300 Forest Ave
Dayton, OH 45405-4500
Phone (937) 535-5060
Other practice location 2
165 S Edwin C Moses Blvd
Dayton, OH 45402-8472
Phone (937) 972-0303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092352 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nhess509944@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
Hospital & facility affiliations
- Kettering Homecare
- Kettering Health Dayton
- Kettering Health Main Campus
- Kettering Health Miamisburg
- Miami Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.011069 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
| Butler County Community Health Consortium Inc | Past | Accepting new patients | |
| Butler County Community Health Consortium, Inc. | Past | Accepting new patients |
Locations
2145 N Fairfield Rd
Ste 100
Beavercreek, OH 45431
Phone (937) 558-3900
1023 S Main St
Ste 200
Centerville, OH 45458
Phone (937) 429-7350
300 Forest Ave
Dayton, OH 45405
Phone (937) 438-6465
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Federally Qualified Health Center (FQHC)
- Hamilton, OH
- NPI 1568489359
-
- Federally Qualified Health Center (FQHC)
- Dayton, OH
- NPI 1497316855
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1437414851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310",
"fax_number": "937-522-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 S MAIN ST STE 200",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454584358",
"telephone_number": "937-436-3117"
}
],
"practiceLocations": [
{
"address_1": "300 Forest Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454054500",
"country_code": "US",
"telephone_number": "937-535-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "165 S Edwin C Moses Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454028472",
"country_code": "US",
"telephone_number": "937-972-0303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HESS",
"first_name": "NICKLAUS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.011069",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092352",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nhess509944@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1023 S Main St Ste 200",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454584358",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1023 S Main St Ste 200",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454584358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.