Individual provider Active NPI

Kevin N Brake, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1003867615
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.01275 Issued in OH
Practice address
2215 E Waterloo Rd
Ste 313
Akron, OH 44312-3856
Phone
(330) 208-2720
Fax
(330) 208-2721
NPI assigned
May 16, 2006
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.01275 OH Primary
Certified Registered Nurse Anesthetist 367500000X RN238227 OH

Addresses

Primary practice location

2215 E Waterloo Rd
Ste 313
Akron, OH 44312-3856

Mailing address

2215 E Waterloo Rd Ste 313
Akron, OH 44312-3856
Phone (330) 208-2720

Other practice location 1

1299 Industrial Pkwy N Ste 110
Brunswick, OH 44212-6366
Phone (330) 225-6468

Other identifiers 2

IdentifierTypeStateIssuer
000000185750OtherANTHEM
0874782MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000674 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183702418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lababidi Enterprises IncGroup PAC ID 8820077704, 9 clinicians

Practice addresses (Care Compare)

1560 Corporate Woods Pkwy
Uniontown, OH 44685-8730
Phone 330208272011207

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.01275OHMDCertified Registered Nurse Anesthetist
RN238227OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Gastroenterology LLC CurrentSince Dec 27, 2023 Accepting new patients
LHZ Limited PTR CurrentSince Feb 15, 2026 Accepting new patients
LHZ Limited PTR Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2015 Accepting new patients
Lababidi Enterprises Inc. CurrentSince Jun 16, 2015 Accepting new patients
Comprehensive Surgical Center of Green, LLC Past Accepting new patients
Stark County Anesthesia, Inc. Past Accepting new patients
Endoscopy Center of Northern Ohio, LLC Past Accepting new patients

Locations

Dayton Gastro Govt Ar Hc
New York, NY 10087

2215 E Waterloo Rd
Ste 313
Akron, OH 44312
Phone (330) 208-2721

975 S Sawburg Ave
Alliance, OH 44601
Phone (330) 821-7997

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

1299 Industrial Pkwy N
Brunswick, OH 44212
Phone (330) 225-6468

1299 Industrial Pkwy N
Ste 110
Brunswick, OH 44212
Phone (330) 225-6468

1299 Industrial Pkwy N
Ste 120
Brunswick, OH 44212
Phone (330) 225-6468

4360 Fulton Dr NW
Ste B
Canton, OH 44718
Phone (330) 305-2020

9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060
Phone (440) 205-1225

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

1560 Corporate Woods Pkwy
Green, OH 44685
Phone 330208272011201

1560 Corporate Woods Pkwy
Ste A
Green, OH 44685

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

4441 Hudson Dr
Stow, OH 44224
Phone (330) 920-4500

518 West Ave
Tallmadge, OH 44278
Phone (216) 630-9699

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

Interoperability endpoints

  • FHIR API: https://5e3884cf-4770-450d-af77-2043acaa1ebe.gastro.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJJAA/Endpoint/FIJJAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1003867615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD",
            "address_2": "STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Industrial Pkwy N Ste 110",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442126366",
            "country_code": "US",
            "telephone_number": "330-225-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "KEVIN",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.01275",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN238227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000185750",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0874782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.