Individual provider Active NPI

James W Hackett II II, M.D.

  • Anesthesiology Physician
  • Springfield, OR
National Provider Identifier
1922012137
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD154153 Issued in OR
Practice address
3333 Riverbend Drive
Springfield, OR 97477-8800
Phone
(541) 222-3154
Fax
(541) 222-3359
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A86997 CA
Anesthesiology Physician 207L00000X MD154153 OR Primary

Addresses

Primary practice location

3333 Riverbend Drive
Springfield, OR 97477-8800

Mailing address

P.O. Box 7247
Springfield, OR 97475-0011
Phone (541) 686-9551

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
I20170927002219 OH Practitioner - Anesthesiology 8022019157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD154153ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Intensive Care Consultants,Inc. Anesthesiology CurrentSince Mar 14, 2023 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 14, 2023 Accepting new patients
Anesthesia Group Practice, Inc Anesthesiology CurrentSince Sep 1, 2017 Accepting new patients

Locations

340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211

1945 Cei Dr
Blue Ash, OH 45242

7810 5 Mile Rd
Ste B
Cincinnati, OH 45230
Phone (513) 977-9640

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888

10506 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800

10615 Montgomery Rd
Montgomery, OH 45242
Phone (513) 793-1999

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: jhacke01@yourcarecommunity.org

Organizations & group practices 3

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 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1922012137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7247",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750011",
            "telephone_number": "541-686-9551",
            "fax_number": "541-687-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RIVERBEND DRIVE",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-222-3154",
            "fax_number": "541-222-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT II",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A86997",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD154153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.