Individual provider Active NPI

Ergun Kocak, M.D.

  • Plastic Surgery Physician
  • Gahanna, OH
National Provider Identifier
1043425028
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35082334 Issued in OH
Practice address
1329 Cherry Way Dr Ste 700
Gahanna, OH 43230-6799
Phone
(855) 687-6227
Fax
(855) 687-6227
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 35082334 OH
Plastic Surgery Physician 208200000X 35082334 OH Primary

Addresses

Primary practice location

1329 Cherry Way Dr Ste 700
Gahanna, OH 43230-6799

Mailing address

1329 Cherry Way Dr
Suite 700
Gahanna, OH 43230-6777
Phone (855) 687-6227

Other identifiers 1

IdentifierTypeStateIssuer
2954183MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090713000148 OH Practitioner - Plastic and Reconstructive Surgery 6406911411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Breast and Aesthetic Surgery IncGroup PAC ID 8527281633, 4 clinicians

Practice addresses (Care Compare)

1080 Beecher Xing N
Suite a
Gahanna, OH 43230-4577
Phone (855) 687-6227

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy32
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 16, 2026 Accepting new patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Midwest Breast and Aesthetic Surgery, Inc. Plastic and Reconstructive Surgery CurrentSince Oct 31, 2013 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 16, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Central Ohio Breast and Endocrine Surgery LLC PastSince Sep 5, 2021 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1080 Beecher Xing N
Ste A
Gahanna, OH 43230
Phone (614) 547-1770

1329 Cherry Way Dr
Ste 700
Gahanna, OH 43230
Phone (614) 476-2273

1003 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 998-8207

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • Direct secure messaging: ekocak@direct.ovsurgical.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1043425028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 CHERRY WAY DR",
            "address_2": "SUITE 700",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306777",
            "telephone_number": "855-687-6227",
            "fax_number": "855-687-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 CHERRY WAY DR STE 700",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306799",
            "telephone_number": "855-687-6227",
            "fax_number": "855-687-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCAK",
        "first_name": "ERGUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35082334",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35082334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2954183",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.