Active NPI
Mark R Hoelzle, MD
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35086586
- Practice address
- 11590 Century Blvd
Cincinnati, OH 45246 - Phone
- (513) 648-9077
- Fax
- (513) 648-9554
- NPI assigned
- Nov 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35086586 | OH | Primary |
Addresses
Primary practice location
11590 Century Blvd
Cincinnati, OH 45246
Mailing address
2830 Victory Parkway
Payor Enrollment
Cincinnati, OH 45206
Phone (513) 585-5507
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
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11590 Century Blvd
Cincinnati, OH 45246-3326
Phone (513) 648-9077
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- West Chester Hospital
- Mercy Health - Fairfield Hospital
- Bethesda North
- Maple Knoll Village
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35086586 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3113 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 475-8033
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700
2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
11590 Century Blvd
Springdale, OH 45246
Phone (513) 648-9077
Interoperability endpoints
- mhoelzle32324@direct.uchealth.com
Organizations & group practices 2
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
- Cincinnati, OH
- NPI 1801840434
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Fairfield, OH
- NPI 1467552471
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1467525642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PARKWAY",
"address_2": "PAYOR ENROLLMENT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45206",
"telephone_number": "513-585-5507",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11590 CENTURY BLVD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45246",
"telephone_number": "513-648-9077",
"fax_number": "513-648-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELZLE",
"first_name": "MARK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35086586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.