Active NPI
Fairfield-Hamilton Internal Medicine Inc.
- Internal Medicine Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FAIRFIELD-HAMILTON INTERNAL MEDICINE INC.
- Practice address
- 5184 Sandy LN
Fairfield, OH 45014-2738 - Phone
- (513) 868-1786
- Fax
- (513) 868-1758
- NPI assigned
- Mar 23, 2008
- 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
- Dale Yu, MD
- Title
- Physician
- Phone
- (513) 868-1786
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5184 Sandy LN
Fairfield, OH 45014-2738
Mailing address
5184 Sandy LN
Fairfield, OH 45014-2738
Phone (513) 868-1786
Other names 1
- Fairfield-Hamilton Internal Medicine Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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 |
|---|---|---|---|
| 36D0344901 | Fairfield-Hamilton Internal Medicine | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
5184 Sandy Ln
Fairfield, OH 45014
Phone (513) 868-1786
Interoperability endpoints
- https://api.platform.athenahealth.com/1528/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1174506646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372723200000",
"number": "1932370541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5184 SANDY LN",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142738",
"telephone_number": "513-868-1786",
"fax_number": "513-868-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5184 SANDY LN",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142738",
"telephone_number": "513-868-1786",
"fax_number": "513-868-1758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRFIELD-HAMILTON INTERNAL MEDICINE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-23",
"last_updated": "2013-07-02",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "513-868-1786",
"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": [
{
"organization_name": "Fairfield-Hamilton Internal Medicine Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.