Individual provider Active NPI

Robert Edward Hurd, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1720015787
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-083710 Issued in OH
Practice address
4435 Aicholtz Rd
Suite 200
Cincinnati, OH 45245-1690
Phone
(513) 947-0400
Fax
(513) 947-0500
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49975 KY
Internal Medicine Physician 207R00000X G46041 CA
Internal Medicine Physician 207R00000X 35-083710 OH Primary

Addresses

Primary practice location

4435 Aicholtz Rd
Suite 200
Cincinnati, OH 45245-1690

Mailing address

PO Box 1239
Troy, MI 48099-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110217000431 OH Practitioner - Internal Medicine 4082895461 Reassigns benefits to 1 organization
I20210202000228 KY Practitioner - Endocrinology 4082895461 Reassigns benefits to 1 organization
I20231127002134 CA Practitioner - Internal Medicine 4082895461

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Creighton University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glutality Provider Group PAGroup PAC ID 9032549837, 8 clinicians

Practice addresses (Care Compare)

9850 Von Allmen CT
Suite 201
Louisville, KY 40241-2855
Phone (561) 678-2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G46041CAMDInternal Medicine Physician
35-083710OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine Current Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Vpa PC Internal Medicine CurrentSince Jun 21, 2015 Accepting new patients
Vpa PC Internal Medicine CurrentSince Jun 21, 2015 Accepting new patients

Locations

4435 Aicholtz Rd
Ste 200
Cincinnati, OH 45245
Phone (513) 947-0400

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

3500 Massillon Rd
Ste 280
Green, OH 44685
Phone (330) 896-5651

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1720015787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 AICHOLTZ RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451690",
            "telephone_number": "513-947-0400",
            "fax_number": "513-947-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "49975",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46041",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-083710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.