NPIMap

Organization Active NPI

Compass Community Health

  • Family Medicine Physician
  • Portsmouth, OH
National Provider Identifier
1588916126
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPASS COMMUNITY HEALTH
Practice address
1634 11TH St
Portsmouth, OH 45662-4526
Phone
(740) 355-7102
Fax
(740) 353-3083
NPI assigned
Oct 5, 2012
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Summer Michelle Kirby
Title
Ceo
Phone
(740) 355-7102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1634 11TH St
Portsmouth, OH 45662-4526

Mailing address

1634 11TH St
Portsmouth, OH 45662-4526
Phone (740) 355-7102

Other identifiers 1

IdentifierTypeStateIssuer
0075606MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131030000613 OH Part B Supplier - Clinic/Group Practice 1759516693 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portsmouth, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Compass Community Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1588916126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624526",
            "telephone_number": "740-355-7102",
            "fax_number": "740-353-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624526",
            "telephone_number": "740-355-7102",
            "fax_number": "740-353-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-355-7102"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.