Individual provider Active NPI

Thomas A Kiefer, MD

  • Allergy & Immunology Physician
  • Dublin, OH
National Provider Identifier
1144220690
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35046870 Issued in OH
Practice address
200 Bradenton Ave
Dublin, OH 43017-7515
Phone
(614) 233-9200
Fax
(614) 233-9201
NPI assigned
Jul 27, 2005
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35046870 OH Primary

Addresses

Primary practice location

200 Bradenton Ave
Dublin, OH 43017-7515

Mailing address

4835 Lytfield Dr
Dublin, OH 43017-2175
Phone (614) 233-9200

Other identifiers 1

IdentifierTypeStateIssuer
0533668MedicaidOH

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
I20040713000286 OH Practitioner - Allergy/Immunology 6002894300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1069 Delaware Ave
Suite 205a
Marion, OH 43302-6288
Phone (614) 793-1980

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (614) 793-1980

500 E Main St
Suite 110
Columbus, OH 43215-5369
Phone (614) 233-9200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Kiefer MD Inc Allergy & Immunology CurrentSince Mar 1, 1998 Accepting new patients
Complex Wound Consultant L.L.C. Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

500 E Main St
Ste 110
Columbus, OH 43215
Phone (614) 233-9200

200 Bradenton Ave
Dublin, OH 43017
Phone (614) 793-1080

1069 Delaware Ave
Ste 205A
Marion, OH 43302
Phone (740) 223-3496

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1144220690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 LYTFIELD DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172175",
            "telephone_number": "614-233-9200",
            "fax_number": "614-233-9201"
        },
        {
            "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": {
        "last_name": "KIEFER",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35046870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0533668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.