Individual provider Active NPI

Kevin C Mineo, M.D.

  • Internal Medicine Physician
  • Kent, OH
National Provider Identifier
1659359008
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35076920 Issued in OH
Practice address
307 W Main St
Suite B
Kent, OH 44240-2400
Phone
(330) 678-7782
Fax
(330) 678-7301
NPI assigned
Jan 5, 2006
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35076920 OH Primary

Addresses

Primary practice location

307 W Main St
Suite B
Kent, OH 44240-2400

Mailing address

307 W Main St
Suite B
Kent, OH 44240-2400
Phone (330) 678-7782

Other identifiers 1

IdentifierTypeStateIssuer
2247849MedicaidOH

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
I20091229000560 OH Practitioner - Internal Medicine 3476693219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

116 E Ave
Suite 3
Tallmadge, OH 44278-2300
Phone (330) 633-7782

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

307 W Main St
Suite B
Kent, OH 44240-2400
Phone (330) 678-7782

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC CurrentSince Dec 1, 2009 Accepting new patients
Unity Health Network, LLC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients

Locations

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

307 W Main St
Ste B
Kent, OH 44240
Phone (330) 678-7782

4465 Darrow Rd
Stow, OH 44224
Phone (330) 688-9501

9150 Market Square Dr
Ste 201
Streetsboro, OH 44241
Phone (330) 422-9005

116 East Ave
Ste 3
Tallmadge, OH 44278
Phone (330) 633-7782

Interoperability endpoints

  • Direct secure messaging: kevin.mineo@wrhs.eclinicaldirectplus.com
  • Direct secure messaging: kmineo36978@ehrdirect.uhhospitals.org

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 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1659359008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST",
            "address_2": "SUITE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-678-7782",
            "fax_number": "330-678-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST",
            "address_2": "SUITE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-678-7782",
            "fax_number": "330-678-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEO",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2247849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.