SUMMIT MEDICAL GROUP, INC
SUMMIT MEDICAL GROUP, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1750343216, based in Erlanger, KY. The organization lists 11 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 1360 DOLWICK DRIVE, Erlanger, KY 41018. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2163326240
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Kentucky | O20031120000738 | Part B Supplier - Clinic/group Practice |
| Ohio | O20240416003305 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (KY, OH). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor Mental Health | — | — | |
| 103T00000X | Psychologist | — | — | |
| 104100000X | Social Worker | — | — | |
| 106H00000X | Marriage & Family Therapist | — | — | |
| 133V00000X | Registered Dietitian | — | — | |
| 152W00000X | Optometrist | — | — | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | — | — | |
| 261QU0200X | Urgent Care Clinic/Center Urgent Care | — | — | |
| 363A00000X | Physician Assistant | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1750343216 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 3, 2006 |
| Last updated | Sep 8, 2020 |
| Status | Active |
| Practice address |
1360 DOLWICK DRIVE Erlanger, KY 41018 (859) 344-5555 Fax (859) 344-5552 |
| Other names |
St. Elizabeth Physicians Former Legal Name |
| Other identifiers |
200993310
· Medicaid (IN) 201152300 · Medicaid (IN) 201157570 · Medicaid (IN) 2355115 · Medicaid (OH) 2501152300 · Medicaid (IN) 65926743 · Medicaid (KY) 7100018930 · Medicaid (KY) 7100235400 · Medicaid (KY) 7100235410 · Medicaid (KY) 7100271890 · Medicaid (KY) 7100311260 · Medicaid (KY) 78003852 · Medicaid (KY) 78902020 · Medicaid (KY) CC3684 · Other (KY) DQ9133 · Other (OH) DR8623 · Other (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 5 | 0 | 3 | 4 | 3 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 6 | 4 | 6 | 2 | 2 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.