NPIMap

Individual provider Active NPI

Timothy Dale Hartman Jr., D.O.

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1891021937
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.010950 Issued in OH
Practice address
2323 W 5TH Ave
Columbus, OH 43204-4899
Phone
(614) 224-6420
NPI assigned
Oct 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.010950 OH Primary

Addresses

Primary practice location

2323 W 5TH Ave
Columbus, OH 43204-4899

Mailing address

2323 W 5TH Ave
Columbus, OH 43204-4899

Other identifiers 1

IdentifierTypeStateIssuer
0085970MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thartman1141765@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130716000918 OH Practitioner - Emergency Medicine 8729992037 Reassigns benefits to 1 organization
I20210621000769 TX Practitioner - Emergency Medicine 8729992037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Physicians of Cincinnati LTDGroup PAC ID 5294044137, 29 clinicians

Practice addresses (Care Compare)

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-1114

Hospital & facility affiliations

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
34.010950OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital CurrentSince May 24, 2021 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince May 24, 2021 Accepting new patients
Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thartman1141765@direct.trinity-health.org

Organizations & group practices 5

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": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1891021937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044899",
            "telephone_number": "614-224-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-24",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085970",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thartman1141765@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Columbus",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2323 W 5th Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432044899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.