Individual provider Active NPI

Timothy T Klostermeier, MD

  • Diagnostic Radiology Physician
  • Lebanon, OH
National Provider Identifier
1487600144
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-06-8453-K Issued in OH
Practice address
482 Knollcrest CT
Lebanon, OH 45036-8059
Phone
(937) 725-2592
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35068453 OH
Diagnostic Radiology Physician 2085R0202X 35-06-8453-K OH Primary

Addresses

Primary practice location

482 Knollcrest CT
Lebanon, OH 45036-8059

Mailing address

482 Knollcrest CT
Lebanon, OH 45036-8059
Phone (937) 725-2592

Other identifiers 1

IdentifierTypeStateIssuer
2051612MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050113000167 OH Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3870541451 Reassigns benefits to 1 organization
I20240918001465 KY Practitioner - Diagnostic Radiology 3870541451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

68 Cavalier Blvd
Florence, KY 41042-1645
Phone (513) 475-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Jul 15, 2021 Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Clinton Radiology PSC Diagnostic Radiology PastSince Aug 1, 1997 Accepting new patients
Intelligent Imaging Resources LLC Diagnostic Radiology Past Accepting new patients

Locations

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

68 Cavalier Blvd
Florence, KY 41042
Phone (513) 475-7630

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

Interoperability endpoints

  • Direct secure messaging: tklostermeier379846@direct.uchealth.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 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1487600144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 KNOLLCREST CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368059",
            "telephone_number": "937-725-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 KNOLLCREST CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368059",
            "telephone_number": "937-725-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERMEIER",
        "first_name": "TIMOTHY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35068453",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-06-8453-K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.