Individual provider Active NPI

Loren Forrest Hiratzka, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cincinnati, OH
National Provider Identifier
1982696340
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35054450H Issued in OH
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

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0640202MedicaidOH
000000005631OtherANTHEM
1820061OtherUNITEDHEALTHCARE
310804060031OtherCARESOURCE
54450OtherCHOICE CARE/HUMANA
8330OtherKY BCBS
64862717MedicaidKY
200057970AMedicaidIN

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

LicenseStateTypeSpecialty
18359IAMDPharmacist
C34038CAMDSurgery Physician
35054450HOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Health Care Group PSC Past Accepting new patients
Cardiovascular & Thoracic Surgeons, Inc. Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lhiratzka26821@direct.trihealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.