Active NPI
Melissa Christine Kander, MD
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1174051809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.138079
- Practice address
- 4830 Knightsbridge Blvd Ste a
Columbus, OH 43214-2300 - Phone
- (614) 451-2174
- Fax
- (614) 451-1742
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.138079 | OH | Primary |
Addresses
Primary practice location
4830 Knightsbridge Blvd Ste a
Columbus, OH 43214-2300
Mailing address
4830 Knightsbridge Blvd Ste a
Columbus, OH 43214-2300
Phone (614) 451-2174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0395107 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ohio State University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4830 Knightsbridge Blvd
Suite a
Columbus, OH 43214-2300
Phone (614) 451-2174
Hospital & facility affiliations
- Summit Orthopaedic Home Care
- Ohiohealth Home Health With Compassus
- Riverside Methodist Hospital
- Dublin Methodist Hospital
- Grant Medical Center
- Ohio State University State Health System
- Doctors Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients |
Locations
655 Africa Rd
Westerville, OH 43082
Interoperability endpoints
- mkander19027@copcp.medicity.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
OH
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grandview Heights, OH
- NPI 1861413999
-
- Home Health Agency
- Dublin, OH
- NPI 1821103227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1174051809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 KNIGHTSBRIDGE BLVD STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142300",
"telephone_number": "614-451-2174",
"fax_number": "614-451-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 KNIGHTSBRIDGE BLVD STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142300",
"telephone_number": "614-451-2174",
"fax_number": "614-451-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDER",
"first_name": "MELISSA",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.138079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0395107",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.