Individual provider Active NPI

Kirsten Ann Kusumi, M.D.

  • Pediatric Nephrology Physician
  • Columbus, OH
National Provider Identifier
1205078763
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
35.096472 Issued in OH
Practice address
555 S 18TH St
Columbus, OH 43205-2654
Phone
(614) 722-2000
NPI assigned
Mar 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 35.096472 OH Primary

Addresses

Primary practice location

555 S 18TH St
Columbus, OH 43205-2654

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

5675 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000

Other practice location 2

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other identifiers 2

IdentifierTypeStateIssuer
H0001958OtherOHCGS
0175175MedicaidOH

Other names 1

  • Kirsten Ann Kolodzk Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkusumi@akronchildrens.org

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
I20160915002547 OH Practitioner - Pediatric Medicine 8820396385 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Academic Association, Inc.Group PAC ID 2961306774, 252 clinicians

Practice addresses (Care Compare)

700 Children's Dr
Columbus, OH 43205-2664
Phone (614) 722-4579

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.096472OHMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Jan 8, 2024 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Akron Children's Hospital Current Accepting new patients
Nationwide Children's Hospital Pediatrics CurrentSince Sep 12, 2024 Accepting new patients
The Metrohealth System CurrentSince Sep 27, 2016 Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics CurrentSince Jul 13, 2016 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Jul 13, 2016 Accepting new patients
Nationwide Children's Hospital CurrentSince Sep 12, 2024 Accepting new patients
The Metrohealth System Pediatrics CurrentSince Sep 27, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

700 Childrens Dr
Ofc
Columbus, OH 43205
Phone (614) 722-5200

Dept L289
Columbus, OH 43260

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5675 Venture Dr
Dublin, OH 43017
Phone (614) 355-9580

Interoperability endpoints

  • Direct secure messaging: kkusumi67536@direct.chmca.org

Organizations & group practices 11

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 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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1205078763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 18TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052654",
            "telephone_number": "614-722-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5675 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSUMI",
        "first_name": "KIRSTEN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "OH",
            "license": "35.096472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGS",
            "identifier": "H0001958",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175175",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkusumi@akronchildrens.org",
            "affiliation": "N",
            "address_1": "1 Perkins Sq",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443081063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "KOLODZK",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.