Individual provider Active NPI

David J Hintz, DPM INC

  • Podiatrist
  • Elyria, OH
National Provider Identifier
1619078755
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001973-H Issued in OH
Practice address
1170 E Broad St
103
Elyria, OH 44035-6351
Phone
(440) 323-9791
Fax
(440) 323-5324
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36001973-H OH Primary

Addresses

Primary practice location

1170 E Broad St
103
Elyria, OH 44035-6351

Mailing address

1170 E Broad St
103
Elyria, OH 44035-6351
Phone (440) 323-9791

Other identifiers 1

IdentifierTypeStateIssuer
0440722MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000432 OH Practitioner - Podiatry 0749370500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
73.93
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36001973-HOHMDPodiatrist
1973OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry Current Accepting new patients
Integrity Foot and Ankle Associates, LLC Podiatrist CurrentSince Sep 15, 2019 Accepting new patients
Integrity Foot and Ankle Associates, LLC Podiatrist CurrentSince Sep 15, 2019 Accepting new patients
Lorain County Health & Dentistry CurrentSince Apr 4, 2014 Accepting new patients
Lorain County Health & Dentistry CurrentSince Apr 4, 2014 Accepting new patients

Locations

1170 E Broad St
Ste 103
Elyria, OH 44035
Phone (440) 282-1221

1740 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 282-1221

1205 Broadway
Lorain, OH 44052

1740 Cooper Foster Park Rd W
Ste B
Lorain, OH 44053
Phone (440) 282-1221

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

Interoperability endpoints

  • Direct secure messaging: david.hintz.p11@direct.loraincountyhealth.nextgenshare.com
  • Direct secure messaging: dhintz37181@ehrdirect.uhhospitals.org

Organizations & group practices 5

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1619078755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E BROAD ST",
            "address_2": "103",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-323-9791",
            "fax_number": "440-323-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BROAD ST",
            "address_2": "103",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-323-9791",
            "fax_number": "440-323-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTZ",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "DPM INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001973-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440722",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.