Individual provider Active NPI

Kevin P Hartman, MD

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1710150933
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35098716 Issued in OH
Practice address
544 Patterson Blvd
Fairfield, OH 45014-2514
Phone
(513) 896-9595
Fax
(513) 896-4171
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 35098716 OH Primary

Addresses

Primary practice location

544 Patterson Blvd
Fairfield, OH 45014-2514

Mailing address

5150 Sandy Lane
Fairfield, OH 45014-5334
Phone (513) 896-9595

Other practice location 1

5150 Sandy Lane
Fairfield, OH 45014-5334
Phone (513) 896-9595

Other identifiers 1

IdentifierTypeStateIssuer
0065173MedicaidOH

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
I20120706000365 OH Practitioner - Internal Medicine 3072778521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

5150 Sandy LN
Fairfield, OH 45014-2738
Phone (513) 896-9595

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35098716OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jul 23, 2012 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Jul 23, 2012 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC PastSince Jan 1, 2020 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

5150 Sandy Ln
Fairfield, OH 45014
Phone (513) 645-1125

544 Patterson Blvd
Fairfield, OH 45014
Phone (513) 896-9595

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 3

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1710150933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SANDY LANE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145334",
            "telephone_number": "513-896-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 PATTERSON BLVD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142514",
            "telephone_number": "513-896-9595",
            "fax_number": "513-896-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Sandy Lane",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450145334",
            "country_code": "US",
            "telephone_number": "513-896-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35098716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.