Individual provider Active NPI

Mark E Gebhart, MD

  • Emergency Medicine Physician
  • Kettering, OH
National Provider Identifier
1831176155
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35075471 Issued in OH
Practice address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone
(937) 436-4658
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35075471 OH Primary
Personal Emergency Response Attendant 146D00000X 35075471 OH

Addresses

Primary practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Mailing address

20 Prestige PLZ
Suite 100
Miamisburg, OH 45342-5354
Phone (937) 436-4658

Other practice location 1

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000

Other identifiers 1

IdentifierTypeStateIssuer
2150621MedicaidOH

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
I20080205000253 OH Practitioner - Emergency Medicine 5496743668 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wright State University Boonshoft School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000

Hospital & facility affiliations

  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075471OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Miami Valley Emergency Specialists, LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Osup Community Outreach LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Mar 16, 2015 Accepting new patients
Greene Emergency Medical Services Past Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients
Samaritan Emergency Corp Emergency Medicine Past Accepting new patients
Emergency Medicine Specialists Inc Emergency Medicine Past Accepting new patients

Locations

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

2400 Lakeview Dr
#150
Beavercreek, OH 45431

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Organizations & group practices 10

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1831176155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PRESTIGE PLZ",
            "address_2": "SUITE 100",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425354",
            "telephone_number": "937-436-4658",
            "fax_number": "937-436-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-436-4658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388541",
            "country_code": "US",
            "telephone_number": "740-380-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBHART",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35075471",
            "primary": true
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "35075471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150621",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.