Individual provider Active NPI

Amanda Rahn Kalfas, PA-C

  • Physician Assistant
  • Fairfield, OH
National Provider Identifier
1215204706
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003675RX Issued in OH
Practice address
6975 Dixie Hwy
Suite a
Fairfield, OH 45014-5431
Phone
(513) 887-2100
Fax
(513) 887-2101
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003675RX OH Primary

Addresses

Primary practice location

6975 Dixie Hwy
Suite a
Fairfield, OH 45014-5431

Mailing address

6975 Dixie Hwy
Suite a
Fairfield, OH 45014-5431
Phone (513) 887-2100

Other names 1

  • Amanda Brittany Rahn Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131209001261 OH Practitioner - Physician Assistant 4880821347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4221 Malsbary Rd
Suite 102
Blue Ash, OH 45242-5521

Merit-based Incentive Payment System (MIPS)

Final score
80.16 of 100Reported as group
Quality
64.87
Improvement activities
40
Cost
71.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.003675RXOHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: amanda.kalfas.1@7498.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1215204706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 DIXIE HWY",
            "address_2": "SUITE A",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145431",
            "telephone_number": "513-887-2100",
            "fax_number": "513-887-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 DIXIE HWY",
            "address_2": "SUITE A",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145431",
            "telephone_number": "513-887-2100",
            "fax_number": "513-887-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALFAS",
        "first_name": "AMANDA",
        "middle_name": "RAHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003675RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RAHN",
            "middle_name": "BRITTANY",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.