NPIMap

Individual provider Active NPI

Karen M Hummel, MD

  • Internal Medicine Physician
  • Medina, OH
National Provider Identifier
1962508374
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071126 Issued in OH
Practice address
4001 Carrick Dr Ste 150
Medina, OH 44256-5392
Phone
(330) 721-8500
Fax
(330) 721-8510
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35071126 OH
Internal Medicine Physician 207R00000X 35071126 OH Primary

Addresses

Primary practice location

4001 Carrick Dr Ste 150
Medina, OH 44256-5392

Mailing address

24701 Euclid Ave
Third Floor - Billing Services
Euclid, OH 44117-1714
Phone (330) 721-8500

Other identifiers 1

IdentifierTypeStateIssuer
2118238MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karenhummel@uhps.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000369 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4183769680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Northeastern Ohio University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

4001 Carrick Dr
Suite 120
Medina, OH 44256-5385
Phone (216) 383-0100

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Internal Medicine CurrentSince Apr 3, 2010 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients
University Hospitals Medical Group Inc Pediatrics Past Accepting new patients
University Primary Care Practices Inc Internal Medicine Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
University Hospitals Regional Practices LLC Internal Medicine Past Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

4001 Carrick Dr
Ste 120
Medina, OH 44256
Phone (330) 426-8700

Interoperability endpoints

  • Direct secure messaging: khummel36979@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 7

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1962508374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR - BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "330-721-8500",
            "fax_number": "330-721-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 CARRICK DR STE 150",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565392",
            "telephone_number": "330-721-8500",
            "fax_number": "330-721-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35071126",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118238",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karenhummel@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4001 Carrick Dr Ste 150",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.