Individual provider Active NPI

Stedman Emanuel Hughes, FNP

  • Family Nurse Practitioner
  • Fairfield Township, OH
National Provider Identifier
1982162269
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024079 Issued in OH
Practice address
5971 Golf Club LN
Fairfield Township, OH 45011-8225
Phone
(513) 896-3000
Fax
(513) 737-0524
NPI assigned
Mar 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 024079 OH Primary

Addresses

Primary practice location

5971 Golf Club LN
Fairfield Township, OH 45011-8225

Mailing address

9669 Linden Brook Dr
Dayton, OH 45458-1120
Phone (937) 270-9558

Other practice location 1

150 High St
Hamilton, OH 45011-2796
Phone (513) 896-3000

Other names 1

  • Mr. Stedman Emanuel Hughes Jr. Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shughes567574@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20190503002384 OH Practitioner - Nurse Practitioner 9638411093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

101 E Alex Bell Rd
Suite 190
Dayton, OH 45459-2752
Phone (937) 425-4030

1028 Miamisburg Centerville Rd
Washington Township, OH 45459-6700
Phone (937) 281-6340

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

243 W Central Ave
Springboro, OH 45066-1103
Phone (937) 531-0124

424 E Stroop Rd
Unit B
Ketterign, OH 45429-2843
Phone (937) 562-2300

50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 562-2280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
024079OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Jun 1, 2019 Accepting new patients
Alliance Physicians Inc Single Specialty CurrentSince Jun 1, 2019 Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

5964 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 425-7135

5971 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 785-4304

8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309

424 E Stroop Rd
Unit B
Kettering, OH 45429
Phone (937) 562-2300

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 120
Springboro, OH 45066
Phone (937) 762-5030

243 W Central Ave
Springboro, OH 45066
Phone (513) 748-4814

1028 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 281-6340

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

50 N Progress Dr
Xenia, OH 45385
Phone (937) 352-2850

Organizations & group practices 2

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 5

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1982162269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 LINDEN BROOK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581120",
            "telephone_number": "937-270-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 GOLF CLUB LN",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118225",
            "telephone_number": "513-896-3000",
            "fax_number": "513-737-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 High St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450112796",
            "country_code": "US",
            "telephone_number": "513-896-3000",
            "fax_number": "513-737-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "STEDMAN",
        "middle_name": "EMANUEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shughes567574@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "5971 Golf Club Ln",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5971 Golf Club Ln",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEDMAN",
            "last_name": "HUGHES",
            "middle_name": "EMANUEL",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield Township, OH

Sources for this page

Verify at the official NPI Registry.