Individual provider Active NPI

Timothy Edward Kremchek, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cincinnati, OH
National Provider Identifier
1467442335
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
35-05-6040 Issued in OH
Practice address
6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961
Phone
(513) 354-3700
Fax
(513) 354-7651
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35-05-6040 OH Primary

Addresses

Primary practice location

6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961

Mailing address

500 E-Business Way
Suite a
Cincinnati, OH 45241-1319
Phone (513) 354-3700

Other identifiers 6

IdentifierTypeStateIssuer
000000021083OtherOHANTHEM
0901041OtherOHUNITED HEALTH CARE
955119OtherOHAETNA
0941306MedicaidOH
410333OtherOHWELLCARE
56040OtherOHHUMANA

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
I20060717000365 OH Practitioner - Orthopedic Surgery 3476452327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 E Business Way
Cincinnati, OH 45241-2374
Phone (513) 251-7827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)27
Upper limb (arm) arthroscopy (minimally invasive joint repair)39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Apr 1, 1997 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD Sports Medicine CurrentSince Apr 1, 1997 Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

500 E Business Way
Ste A
Cincinnati, OH 45241
Phone (513) 389-3666

500 E Business Way
Ste C
Cincinnati, OH 45241
Phone (513) 389-3666

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

3950 Red Bank Rd
Cincinnati, OH 45227
Phone (513) 246-8840

1992 King Ave
Kings Mills, OH 45034
Phone (513) 204-5555

2835 Miami Village Dr
Miamisburg, OH 45342
Phone (937) 449-0796

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

10765 Reading Rd
Sharonville, OH 45241
Phone (513) 430-6362

500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827

501 E Business Way
Ste A
Sharonville, OH 45241

720 Elm St
Wilmington, OH 45177
Phone (937) 283-2186

Interoperability endpoints

  • Direct secure messaging: timothy.kremchek.p2@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: timothy.kremchek.p1@direct.beaconortho.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1467442335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E-BUSINESS WAY",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411319",
            "telephone_number": "513-354-3700",
            "fax_number": "513-354-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE",
            "address_2": "SUITE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-3700",
            "fax_number": "513-354-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMCHEK",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35-05-6040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000021083",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0901041",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "955119",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0941306",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "410333",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "56040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.