Individual provider Active NPI

Kiel Johasen Pfefferle, M.D.

  • Orthopaedic Surgery Physician
  • Akron, OH
National Provider Identifier
1063723765
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101257861 Issued in VA
Practice address
1 Park West Blvd
Suite 330
Akron, OH 44320-4218
Phone
(330) 835-5533
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101257861 VA Primary

Addresses

Primary practice location

1 Park West Blvd
Suite 330
Akron, OH 44320-4218

Mailing address

1 Park West Blvd
Suite 330
Akron, OH 44320-4218
Phone (330) 835-5533

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
I20160930001279 OH Practitioner - Orthopedic Surgery 5496067357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1 Park W Blvd
Akron, OH 44320-4226

155 5TH St NE
Barberton, OH 44203-3332

1790 Graybill Rd
Green, OH 44685-7993

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Home Health and Hospice LLC Home health agency, Akron, OH, CCN 367713
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement37
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Aug 15, 2016 Accepting new patients
Summa Physicians LLC Orthopaedic Surgery CurrentSince Aug 15, 2016 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Orthopaedic Surgery Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

1 Park West Blvd
Ste 330
Akron, OH 44320
Phone (216) 406-4323

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

1790 Graybill Rd
Ste 100
Green, OH 44685
Phone (234) 312-5331

5655 Hudson Dr
Ste 200
Hudson, OH 44236
Phone (330) 342-3731

Interoperability endpoints

  • Direct secure messaging: kpfefferle28620@summahealth-direct.org

Organizations & group practices 4

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 5

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1063723765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD",
            "address_2": "SUITE 330",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204218",
            "telephone_number": "330-835-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD",
            "address_2": "SUITE 330",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204218",
            "telephone_number": "330-835-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEFFERLE",
        "first_name": "KIEL",
        "middle_name": "JOHASEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101257861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.