Individual provider Active NPI

Andrew Paul Tepe

  • Family Medicine Physician
  • Blanchester, OH
National Provider Identifier
1972087724
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in OH
Practice address
700 S Broadway St # STQ
Blanchester, OH 45107-1465
Phone
(937) 783-2600
NPI assigned
Sep 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207Q00000X OH Primary

Addresses

Primary practice location

700 S Broadway St # STQ
Blanchester, OH 45107-1465

Mailing address

700 S Broadway St
Blanchester, OH 45107-1465

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102001699 OH Practitioner - Nurse Practitioner 2264784461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catherine Laruffa MD IncGroup PAC ID 4183657356, 2 clinicians

Practice addresses (Care Compare)

700 S Broadway St
Blanchester, OH 45107-1465
Phone (937) 783-2600

Hospital & facility affiliations

  • Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
207Q00000XOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine Laruffa MD Inc Family Medicine CurrentSince Sep 15, 2018 Accepting new patients

Locations

700 S Broadway St
Blanchester, OH 45107
Phone (937) 783-2600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4863/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andrew.tepe.1@4863.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1972087724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S BROADWAY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BROADWAY ST # STQ",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071465",
            "telephone_number": "937-783-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPE",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchester, OH

Sources for this page

Verify at the official NPI Registry.