Individual provider Active NPI

Courtney Hentz, MD

  • Radiation Oncology Physician
  • Maywood, IL
National Provider Identifier
1629495825
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036148763 Issued in IL
Practice address
2160 S 1St Ave
Maguire Center, Room 2944
Maywood, IL 60153-3328
Phone
(708) 216-2587
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35.144043 OH
Radiation Oncology Physician 2085R0001X 036148763 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maguire Center, Room 2944
Maywood, IL 60153-3328

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2273

Other practice location 1

601 Ivy Gtwy Ste 1100
Cincinnati, OH 45245-1995
Phone (513) 751-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chentz77576@direct.luhs.org Direct

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
I20220203000339 OH Practitioner - Radiation Oncology 4789987520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Care IncGroup PAC ID 8921910373, 63 clinicians

Practice addresses (Care Compare)

601 Ivy Gateway
Suite 1
Cincinnati, OH 45245-1898
Phone (513) 751-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Oncology Hematology Care Inc CurrentSince Feb 28, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Oncology Hematology Care Inc Past Accepting new patients
Oncology Hematology Care, Inc. Radiation Oncology Past Accepting new patients
Oncology-Hematology Care Inc Past Accepting new patients
Oncology/ Hematology Care, Inc. Radiation Oncology Past Accepting new patients

Locations

2160 S 1st Ave
Rm 2944
Maywood, IL 60153
Phone (708) 216-2575

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

4777 E Galbraith Rd
#1
Cincinnati, OH 45236

4777 E Galbraith Rd
Fl 1
Cincinnati, OH 45236
Phone (513) 791-9959

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

601 Ivy Gtwy
Cincinnati, OH 45245
Phone (513) 752-8000

601 Ivy Gtwy
#1
Cincinnati, OH 45245

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

4777 E Galbraith Rd
Ste 320
Cincinnati, OH 45236

601 Ivy Gtwy
Ste 1100
Cincinnati, OH 45245

2960 Mack Rd
Ste 105
Fairfield, OH 45014
Phone (513) 751-4467

Interoperability endpoints

  • Direct secure messaging: chentz1069989@direct.bsmhealth.org
  • Direct secure messaging: courtney.hentz@ohc.ikm.direct-ci.com

Organizations & group practices 7

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 5

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1629495825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "MAGUIRE CENTER, ROOM 2944",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Ivy Gtwy Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452451995",
            "country_code": "US",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENTZ",
        "first_name": "COURTNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.144043",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036148763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chentz77576@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "address_2": "Maguire Center, Room 2944",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.