Organization Active NPI

Bluffton Family Practice LLC

  • Family Medicine Physician
  • Bluffton, OH
National Provider Identifier
1831295674
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Darrel Hotmire, DONPI 1508818568
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1508818568OtherOH1508818568
DC6643OtherOHRAILROAD MEDICARE
1831295674OtherOHGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1030097Bluffton Family Practice LLC582 Harmon Rd, Bluffton, OH 45817Provider-performed microscopyMar 6, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.