Active NPI
Loren Forrest Hiratzka, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cincinnati, OH
National Provider Identifier
1982696340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35054450H
- Practice address
- 10506 Montgomery Rd
Suite 302
Cincinnati, OH 45242 - Phone
- (513) 865-5120
- Fax
- (513) 865-5121
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25039 | KY | |
| Surgery Physician | 208600000X | 25039 | KY | |
| Surgery Physician | 208600000X | 35054450H | OH | |
| Surgery Physician | 208600000X | C34038 | CA | |
| Surgery Physician | 208600000X | 18359 | IA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 25039 | KY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35054450H | OH | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | C34038 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 18359 | IA |
Addresses
Primary practice location
10506 Montgomery Rd
Suite 302
Cincinnati, OH 45242
Mailing address
10506 Montgomery Road
Suite 302
Cincinnati, OH 45242
Phone (513) 865-5120
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0640202 | Medicaid | OH | |
| 000000005631 | Other | ANTHEM | |
| 1820061 | Other | UNITEDHEALTHCARE | |
| 310804060031 | Other | CARESOURCE | |
| 54450 | Other | CHOICE CARE/HUMANA | |
| 8330 | Other | KY BCBS | |
| 64862717 | Medicaid | KY | |
| 200057970A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18359 | IA | MD | Pharmacist |
| C34038 | CA | MD | Surgery Physician |
| 35054450H | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cincinnati Health Care Group PSC | Past | Accepting new patients | |
| Cardiovascular & Thoracic Surgeons, Inc. | Surgery | Past | Accepting new patients |
Interoperability endpoints
- lhiratzka26821@direct.trihealth.com
- https://api.platform.athenahealth.com/6293/brand/1/csg/1/fhir/r4
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cincinnati, OH
- NPI 1548299431
-
- Ambulatory Surgical Clinic/Center
- Crestview Hills, KY
- NPI 1881616357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1982696340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY ROAD",
"address_2": "SUITE 302",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-865-5120",
"fax_number": "513-865-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY RD",
"address_2": "SUITE 302",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-865-5120",
"fax_number": "513-865-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRATZKA",
"first_name": "LOREN",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "25039",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "25039",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35054450H",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C34038",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "18359",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "25039",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OH",
"license": "35054450H",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "C34038",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IA",
"license": "18359",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0640202",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000005631",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "1820061",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "310804060031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE/HUMANA",
"identifier": "54450",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY BCBS",
"identifier": "8330",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64862717",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200057970A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.