Active NPI
Bluffton Family Practice LLC
- Family Medicine Physician
- Bluffton, OH
National Provider Identifier
1831295674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BLUFFTON FAMILY PRACTICE LLC
- Practice address
- 582 Harmon Rd
Bluffton, OH 45817-1069 - Phone
- (419) 369-4804
- Fax
- (419) 369-4805
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darrel Hotmire, DO
- Title
- Owner
- Phone
- (419) 369-4804
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
582 Harmon Rd
Bluffton, OH 45817-1069
Mailing address
582 Harmon Rd
Bluffton, OH 45817-1069
Phone (419) 369-4804
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508818568 | Other | OH | 1508818568 |
| DC6643 | Other | OH | RAILROAD MEDICARE |
| 1831295674 | Other | OH | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041026000431 | OH | Part B Supplier - Clinic/Group Practice | 8729049424 |
Receives reassigned benefits from 2 practitioners Practice locations: Bluffton, OH; Pandora, OH; Ottawa, OH; Lima, OH; Leipsic, OH; Findlay, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1030097 | Bluffton Family Practice LLC | Provider-performed microscopy | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635465600000",
"number": "1831295674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 HARMON RD",
"city": "BLUFFTON",
"state": "OH",
"postal_code": "458171069",
"telephone_number": "419-369-4804",
"fax_number": "419-369-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "582 HARMON RD",
"city": "BLUFFTON",
"state": "OH",
"postal_code": "458171069",
"telephone_number": "419-369-4804",
"fax_number": "419-369-4805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUFFTON FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A",
"authorized_official_last_name": "HOTMIRE",
"authorized_official_first_name": "DARREL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-369-4804",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1508818568",
"identifier": "1508818568",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC6643",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1831295674",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.