Individual provider Active NPI

Heather N. Hartman, M.D.

  • Allergy & Immunology Physician
  • Cincinnati, OH
National Provider Identifier
1558504118
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35.098960 Issued in OH
Practice address
10495 Montgomery Rd
Cincinnati, OH 45242-4468
Phone
(513) 791-6006
Fax
(513) 791-3399
NPI assigned
Apr 13, 2009
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35.098960 OH Primary

Addresses

Primary practice location

10495 Montgomery Rd
Cincinnati, OH 45242-4468

Mailing address

10495 Montgomery Rd Ste 24
Cincinnati, OH 45242-4420
Phone (513) 791-6006

Other identifiers 1

IdentifierTypeStateIssuer
0168263MedicaidOH

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
I20120823000379 OH Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1254588486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Wisconsin, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cincinnati Allergy Associates LLCGroup PAC ID 4587085659, 2 clinicians

Practice addresses (Care Compare)

10495 Montgomery Rd
Suite 24
Montgomery, OH 45242-4420
Phone (513) 791-6006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.098960OHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Allergy Associates, LLC CurrentSince Dec 4, 2019 Accepting new patients
Allergy and Asthma Center of the Tri-State, Inc. Allergy & Immunology PastSince Mar 1, 2020 Accepting new patients

Locations

7074 Harrison Ave
Ste 10
Cincinnati, OH 45247
Phone (513) 791-6006

10495 Montgomery Rd
Ste 24
Montgomery, OH 45242
Phone (513) 791-6006

Interoperability endpoints

  • Direct secure messaging: heather.hartman.1@21791.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21791/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1558504118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD STE 24",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424420",
            "telephone_number": "513-791-6006",
            "fax_number": "513-791-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424468",
            "telephone_number": "513-791-6006",
            "fax_number": "513-791-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "HEATHER",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35.098960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.