Individual provider Active NPI

Mark Kremer, PA-C

  • Physician Assistant
  • Hamilton, OH
National Provider Identifier
1659951085
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006928 Issued in OH
Practice address
3090 McBride CT
Hamilton, OH 45011-0811
Phone
(513) 863-8212
NPI assigned
Apr 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006928 OH Primary

Addresses

Primary practice location

3090 McBride CT
Hamilton, OH 45011-0811

Mailing address

3918 Fulton Grove Rd
Cincinnati, OH 45245-2507
Phone (734) 660-6535

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001072 OH Practitioner - Physician Assistant 0345611059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2960 Mack Rd
Suite 203
Fairfield, OH 45014-5374
Phone (513) 863-8212

3090 McBride CT
Suite B
Hamilton, OH 45011-0812

3090 McBride CT B
Hamilton, OH 45011-0812
Phone (513) 863-8212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Assoc of SW Ohio Inc CurrentSince Aug 6, 2023 Accepting new patients
Nephrology Associates of Southwestern Ohio, Inc CurrentSince Aug 6, 2023 Accepting new patients

Locations

3090 McBride Ct
Ste B
Hamilton, OH 45011
Phone (513) 863-8212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1048/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1659951085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 FULTON GROVE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452507",
            "telephone_number": "734-660-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 MCBRIDE CT",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450110811",
            "telephone_number": "513-863-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMER",
        "first_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-07-30",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.