Organization Active NPI

Thomas a Kiefer MD Inc

  • Allergy & Immunology Physician
  • Dublin, OH
National Provider Identifier
1013024769
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
THOMAS A KIEFER MD INC
Practice address
200 Bradenton Ave
Dublin, OH 43017-7515
Phone
(614) 233-9200
Fax
(614) 233-9201
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Thomas A Kiefer, MDNPI 1144220690
Title
Owner
Phone
(614) 233-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

200 Bradenton Ave
Dublin, OH 43017-7515

Mailing address

PO Box 3325
Dublin, OH 43016-0150
Phone (614) 793-1982

Other identifiers 1

IdentifierTypeStateIssuer
3128056MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000670 OH Part B Supplier - Clinic/Group Practice 8325043763 Receives reassigned benefits from 1 practitioner
Practice locations: Circleville, OH; Westerville, OH; Washington Court House, OH; Springfield, OH; Marion, OH; Columbus, OH; Bellefontaine, OH

National Provider Directory

National Provider Directory

Locations

600 N Pickaway St
#107
Circleville, OH 43113
Phone (614) 793-1980

1430 Columbus Ave
#340
Washington Court House, OH 43160
Phone (614) 793-1980

495 Cooper Rd
Ste 330
Westerville, OH 43081
Phone (614) 898-6825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1013024769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3325",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430160150",
            "telephone_number": "614-793-1982",
            "fax_number": "614-793-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-233-9200",
            "fax_number": "614-233-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A KIEFER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-233-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.