Active NPI
Sharat Kumar Kusuma, MD
- Orthopaedic Surgery Physician
- Columbus, OH
National Provider Identifier
1003976598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35093375
- Practice address
- 340 E Town St
Suite 7-250
Columbus, OH 43215-4600 - Phone
- (614) 566-8570
- Fax
- (614) 566-8548
- NPI assigned
- Dec 12, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 036117745 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | LT 2791 | NH | |
| Orthopaedic Surgery Physician | 207X00000X | 35093375 | OH | Primary |
Addresses
Primary practice location
340 E Town St
Suite 7-250
Columbus, OH 43215-4600
Mailing address
5350 Frantz Rd
Dublin, OH 43016-4259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2939557 | Medicaid | OH | |
| 30208278 | Medicaid | NH |
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 |
|---|---|---|---|
| LT 2791 | NH | MD | Orthopaedic Surgery Physician |
| 036117745 | IL | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkland Physician Services, Inc. | Past | Accepting new patients | |
| Midwest Orthopaedics at Rush, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
-
- Endocrinology, Diabetes & Metabolism Physician
- Derry, NH
- NPI 1144388737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1003976598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 FRANTZ RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E TOWN ST",
"address_2": "SUITE 7-250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154600",
"telephone_number": "614-566-8570",
"fax_number": "614-566-8548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSUMA",
"first_name": "SHARAT",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "IL",
"license": "036117745",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NH",
"license": "LT 2791",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35093375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2939557",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30208278",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.