Active NPI
Kevin Patrick O'Reilly, M.D.
- Nephrology Physician
- Grove City, OH
National Provider Identifier
1174531354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35.080725
- Practice address
- 5775 N Meadows Dr Ste D
Grove City, OH 43123-7300 - Phone
- (614) 224-4200
- Fax
- (614) 224-4207
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35.080725 | OH | Primary |
Addresses
Primary practice location
5775 N Meadows Dr Ste D
Grove City, OH 43123-7300
Mailing address
5775 N Meadows Dr Ste D
Grove City, OH 43123-7300
Phone (614) 224-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35.080725 | Other | OH | STATE MEDICAL LICENSE |
| 2311993 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040413001494 | OH | Practitioner - Nephrology | 2365436185 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Ohio State University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5775 N Meadows Dr
Suite D
Grove City, OH 43123-7300
Phone (614) 224-4200
Hospital & facility affiliations
- FMC - Mt. Carmel East
- Fresenius Kidney Care New Albany - OH
- Kidney Center of Bexley
- Mount Carmel East & West
- Mount Carmel St Ann'S
- Grant Medical Center
- Licking Memorial Hospital
- Diley Ridge Medical Center
- Mount Carmel Rehabilitation Hospital, an Affiliate
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.080725 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Nephrology, Inc. | Nephrology | Current | Accepting new patients |
| Rex Hospital, Inc. | Past | Accepting new patients |
Locations
5825 Westbourne Ave
Columbus, OH 43213
Phone (614) 224-4200
85 McNaughten Rd
Ste 310
Columbus, OH 43213
Phone (614) 224-4200
5775 N Meadows Dr
Ste D
Grove City, OH 43123
Phone (614) 224-4200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- koreilly29622@direct.acumenmd.com
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.
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Columbus, OH
- NPI 1194830950
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gahanna, OH
- NPI 1336675503
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Columbus, OH
- NPI 1679859540
Dialysis facility
-
- Rehabilitation Hospital
- Westerville, OH
- NPI 1497202485
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1174531354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 N MEADOWS DR STE D",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431237300",
"telephone_number": "614-224-4200",
"fax_number": "614-224-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 N MEADOWS DR STE D",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431237300",
"telephone_number": "614-224-4200",
"fax_number": "614-224-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'REILLY",
"first_name": "KEVIN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35.080725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "35.080725",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2311993",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.