Individual provider Active NPI

Kelly Alcius, DO

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1073253563
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34.018715 Issued in OH
Practice address
50 Old Village Rd
Columbus, OH 43228-1583
Phone
(614) 544-1976
Fax
(614) 544-1981
NPI assigned
Mar 31, 2022
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 34.018715 OH Primary

Addresses

Primary practice location

50 Old Village Rd
Columbus, OH 43228-1583

Mailing address

50 Old Village Rd
Columbus, OH 43228-1583
Phone (614) 544-1976

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
I20220523002497 OH Order and Referring Only - General SurgeryPractitioner - General Surgery 4284011776

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1073253563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OLD VILLAGE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281583",
            "telephone_number": "614-544-1976",
            "fax_number": "614-544-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 OLD VILLAGE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281583",
            "telephone_number": "614-544-1976",
            "fax_number": "614-544-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCIUS",
        "first_name": "KELLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.018715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.