Individual provider Active NPI

Patrick J. Lytle, DO

  • Cardiovascular Disease Physician
  • Hamilton, OH
National Provider Identifier
1811996580
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34006170 Issued in OH
Practice address
1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2784
Phone
(513) 867-3331
Fax
(513) 867-2667
NPI assigned
Jul 15, 2005
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34006170 OH Primary

Addresses

Primary practice location

1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2784

Mailing address

1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2784
Phone (513) 867-3331

Other practice location 1

8057 Washington Village Dr
Centerville, OH 45458-1847
Phone (937) 312-9890

Other identifiers 2

IdentifierTypeStateIssuer
0144632MedicaidOH
000000009398OtherOHANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address plytle181811@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20040407000621 OH Practitioner - Cardiovascular Disease (Cardiology) 3375536006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2772
Phone (513) 867-3331

1711 27TH St
Portsmouth, OH 45662-2654
Phone (740) 356-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006170OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of Dayton Inc. Cardiovascular Disease Current Accepting new patients
Kettering Independent Medical Group Inc Cardiovascular Disease CurrentSince Sep 5, 2023 Accepting new patients

Locations

425 W Grand Ave
Ste 2002
Dayton, OH 45405
Phone (937) 294-3611

1010 Cereal Ave
Ste 207
Hamilton, OH 45013
Phone (513) 867-3331

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

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

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

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, 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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1811996580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "SUITE 207",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132784",
            "telephone_number": "513-867-3331",
            "fax_number": "513-867-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "SUITE 207",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132784",
            "telephone_number": "513-867-3331",
            "fax_number": "513-867-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8057 Washington Village Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454581847",
            "country_code": "US",
            "telephone_number": "937-312-9890",
            "fax_number": "937-312-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "PATRICK",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34006170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144632",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000009398",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plytle181811@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "8057 Washington Village Dr",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454581847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "8057 Washington Village Dr",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454581847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.