Individual provider Active NPI

Lee Klopfenstein, M.D.

  • Family Medicine Physician
  • Maumee, OH
National Provider Identifier
1184729220
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-056978 Issued in OH
Practice address
1715 Indian Wood Cir Ste Office
Maumee, OH 43537-4055
Phone
(419) 578-8594
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01036887A IN
Family Medicine Physician 207Q00000X 35-056978 OH Primary

Addresses

Primary practice location

1715 Indian Wood Cir Ste Office
Maumee, OH 43537-4055

Mailing address

7360 Salisbury Rd
Maumee, OH 43537-9612
Phone (419) 263-8328

Other identifiers 1

IdentifierTypeStateIssuer
0717871MedicaidOH

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
I20100113000144 OH Practitioner - Family Practice 5092856054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

553 E Manhattan Blvd
Toledo, OH 43608-1216
Phone (419) 219-7001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC Family Medicine CurrentSince May 9, 2022 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Ameriwound LLC CurrentSince Sep 14, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

14095 E Center St
Burton, OH 44021
Phone (440) 834-1084

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

1900 Indian Wood Cir
Ste 202B
Maumee, OH 43537
Phone (419) 578-8594

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1184729220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 SALISBURY RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379612",
            "telephone_number": "419-263-8328",
            "fax_number": "567-343-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 INDIAN WOOD CIR STE OFFICE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374055",
            "telephone_number": "419-578-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPFENSTEIN",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036887A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-056978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.