Organization Active NPI

Hyde Park Medical Associates, Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1841310331
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HYDE PARK MEDICAL ASSOCIATES, INC.
Practice address
2135 Dana Ave
Suite 210
Cincinnati, OH 45207
Phone
(513) 351-1200
Fax
(513) 351-1580
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
James Hochwalt, MDNPI 1235164088
Title
President
Phone
(513) 351-1200

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2135 Dana Ave
Suite 210
Cincinnati, OH 45207

Mailing address

2135 Dana Ave
Suite 210
Cincinnati, OH 45207
Phone (513) 351-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000585 OH Part B Supplier - Clinic/Group Practice 2567544505 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, 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
36D0719201Hyde Park Medical Associates2135 Dana Ave Suite 210, Cincinnati, OH 45207Provider-performed microscopyJan 30, 2027

National Provider Directory

National Provider Directory

Locations

2139 Auburn Ave
Rm 6166
Cincinnati, OH 45219
Phone (513) 585-3488

3805 Edwards Rd
Ste 300
Cincinnati, OH 45209
Phone (513) 585-9700

237 William Howard Taft Rd
Rm 64
Cincinnati, OH 45219

2135 Dana Ave
Ste 210
Cincinnati, OH 45207
Phone (513) 321-0833

237 William Howard Taft Rd
#64
Cincinnati, OH 45219

Practitioners & affiliated clinicians

Practitioners 122

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1841310331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45207",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45207",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "HOCHWALT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-351-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.