Individual provider Active NPI

Keren B Sturtz, MD

  • Hematology & Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1578735569
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35.139862 Issued in OH
Practice address
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone
(513) 321-4333
Fax
(513) 533-6033
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 048918 CO
Hematology & Oncology Physician 207RH0003X MD25123 OR
Hematology & Oncology Physician 207RH0003X 35.139862 OH Primary

Addresses

Primary practice location

2139 Auburn Ave
Cincinnati, OH 45219-2906

Mailing address

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 321-4333

Other identifiers 2

IdentifierTypeStateIssuer
98785869MedicaidCO
024920OtherCOKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100809000215 CO Practitioner - Hematology/Oncology 5294709861 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048918COMDHematology & Oncology Physician
35.139862OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 18, 2018 Accepting new patients
Saint Joseph Hospital, Inc Hematology & Oncology CurrentSince Nov 18, 2018 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jul 19, 2021 Accepting new patients
Cancer Centers of Colorado, LLC Hematology & Oncology CurrentSince Sep 30, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 18, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC Hematology & Oncology Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Nov 18, 2018 Accepting new patients
Pacific Oncology PC Hematology & Oncology Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

1601 Lowell Blvd
Ste 150
Denver, CO 80204
Phone (303) 403-6820

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

2698 Patterson Rd
Grand Junction, CO 81506
Phone (970) 298-2800

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1578735569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-321-4333",
            "fax_number": "513-533-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-321-4333",
            "fax_number": "513-533-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURTZ",
        "first_name": "KEREN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "048918",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD25123",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35.139862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98785869",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "024920",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.