Individual provider Active NPI

Linda Lou Kintz, MD

  • Family Medicine Physician
  • Miamisburg, OH
National Provider Identifier
1750547469
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
268839 Issued in MA
Practice address
415 Byers Rd Ste 300
Miamisburg, OH 45342-3684
Phone
(937) 866-2494
Fax
(937) 866-8494
NPI assigned
Aug 1, 2008
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.095813 OH
Family Medicine Physician 207Q00000X 268839 MA Primary
Family Medicine Physician 207Q00000X 25701 OK

Addresses

Primary practice location

415 Byers Rd Ste 300
Miamisburg, OH 45342-3684

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1305

Other identifiers 2

IdentifierTypeStateIssuer
H186161OtherOHMEDICARE
3077905MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lkintz747698@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100921000913 OH Practitioner - Family Practice 8426118308 Reassigns benefits to 1 organization
I20170406000086 MA Practitioner - Family Practice 8426118308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oakland College of Medicine and Surgery, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

101 E Alex Bell Rd
Suite 190
Dayton, OH 45459-2752
Phone (937) 425-4030

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

415 Byers Rd
Suite 300
Miamisburg, OH 45342-3684
Phone (937) 866-2494

445 Byers Rd
Miamisburg, OH 45342-5398
Phone (937) 865-0534

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268839MAMDFamily Medicine Physician
35.095813OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians, Inc. Family Medicine CurrentSince Jan 7, 2021 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Jan 7, 2021 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Jan 2, 2017 Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

9 Northeastern Blvd
Ste 400
Salem, NH 03079

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

415 Byers Rd
Ste 300
Miamisburg, OH 45342
Phone (937) 866-2494

445 Byers Rd
Miamisburg, OH 45342
Phone (937) 471-6738

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/237/brand/1/csg/41/fhir/r4

Organizations & group practices 4

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1750547469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1305",
            "fax_number": "937-522-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BYERS RD STE 300",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423684",
            "telephone_number": "937-866-2494",
            "fax_number": "937-866-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZ",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.095813",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "268839",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H186161",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077905",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkintz747698@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "415 Byers Rd Ste 300",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "415 Byers Rd Ste 300",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.