Individual provider Active NPI

Kawsu Conteh, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1124228226
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
021248 Issued in OH
Practice address
3349 E Livingston Ave
Columbus, OH 43227-1957
Phone
(614) 245-9159
Fax
(614) 824-2453
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 021248 OH
Gerontology Nurse Practitioner 363LG0600X 021248 OH
Primary Care Nurse Practitioner 363LP2300X 021248 OH
Nurse Practitioner 363L00000X 021248 OH Primary

Addresses

Primary practice location

3349 E Livingston Ave
Columbus, OH 43227-1957

Mailing address

3349 E Livingston Ave
Columbus, OH 43227-1957
Phone (614) 245-9159

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119001127 OH Practitioner - Nurse Practitioner 3678832623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Church Residences Medical HomeGroup PAC ID 7012178171, 7 clinicians

Practice addresses (Care Compare)

398 S Grant Ave
Columbus, OH 43215-5549
Phone (614) 484-0789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
021248OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
National Church Residences Medical Home CurrentSince Jun 28, 2022 Accepting new patients
True Holistic Primary Care, LLC Nurse Practitioner Current Accepting new patients
National Church Residences Medical Home CurrentSince Jun 28, 2022 Accepting new patients
Summit Medical Group, PLLC PastSince Jul 19, 2020 Accepting new patients

Locations

807 Western Ave
Chillicothe, OH 45601
Phone (740) 779-1240

3349 E Livingston Ave
Columbus, OH 43227
Phone (614) 235-4426

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

500 N Nelson Rd
Columbus, OH 43219
Phone (614) 228-2988

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4416/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kawsu.conteh.1@4416.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18735/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kconteh@landmarkhealth-direct.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1124228226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271957",
            "telephone_number": "614-245-9159",
            "fax_number": "614-824-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271957",
            "telephone_number": "614-245-9159",
            "fax_number": "614-824-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTEH",
        "first_name": "KAWSU",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "021248",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "021248",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "021248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "021248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.