Individual provider Active NPI

Naomi Kasturiarachi, DO

  • Family Medicine Physician
  • Oregon, OH
National Provider Identifier
1205586203
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.017258 Issued in OH
Practice address
2751 Bay Park Dr Ste 204
Oregon, OH 43616-4922
Phone
(194) 690-7686
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.017258 OH Primary

Addresses

Primary practice location

2751 Bay Park Dr Ste 204
Oregon, OH 43616-4922

Mailing address

2751 Bay Park Dr Ste 204
Oregon, OH 43616-4922
Phone (194) 690-7686

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
I20251009000944 OH Practitioner - Family Practice 5799163127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2751 Bay Park Dr
Suite 201
Oregon, OH 43616-4922
Phone (419) 690-8832

Hospital & facility affiliations

  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.017258OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2025 Accepting new patients

Locations

2751 Bay Park Dr
Ste 201
Oregon, OH 43616
Phone (419) 690-8811

2751 Bay Park Dr
Ste 204
Oregon, OH 43616
Phone (419) 725-6801

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

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.

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1205586203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR STE 204",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164922",
            "telephone_number": "194-690-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR STE 204",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164922",
            "telephone_number": "194-690-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTURIARACHI",
        "first_name": "NAOMI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.