Individual provider Active NPI

Ian Kinnaird, CNP

  • Adult Health Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1215663323
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.0031220 Issued in OH
Practice address
8877 Mentor Ave
Mentor, OH 44060-6211
Phone
(440) 205-1225
NPI assigned
Jul 29, 2022
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0031220 OH Primary

Addresses

Primary practice location

8877 Mentor Ave
Mentor, OH 44060-6211

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

500 E Royalton Rd Ste 100
Broadview Heights, OH 44147-2592
Phone (330) 225-6468

Other practice location 2

4360 Fulton Dr NW Ste B
Canton, OH 44718-2878
Phone (330) 305-2020

Other practice location 3

1299 Industrial Pkwy N Ste 110
Brunswick, OH 44212-6366
Phone (330) 225-6468

Other practice location 4

3985 Medina Rd Ste 120
Medina, OH 44256-5968
Phone (330) 225-6468

Other identifiers 1

IdentifierTypeStateIssuer
0007259MedicaidOH

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
I20221007000446 OH Practitioner - Nurse Practitioner 3577949981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Gastroenterology, LLCGroup PAC ID 9537064407, 74 clinicians

Practice addresses (Care Compare)

8877 Mentor Ave
Mentor, OH 44060-6211
Phone (440) 205-1225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Gastroenterology LLC CurrentSince Dec 27, 2023 Accepting new patients

Locations

Dayton Gastro Govt Ar Hc
New York, NY 10087

500 E Royalton Rd
Ste 100
Broadview Hts, OH 44147
Phone (330) 225-6468

1299 Industrial Pkwy N
Brunswick, OH 44212
Phone (330) 225-6468

1299 Industrial Pkwy N
Ste 110
Brunswick, OH 44212
Phone (330) 225-6468

4360 Fulton Dr NW
Ste B
Canton, OH 44718
Phone (330) 305-2020

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

3985 Medina Rd
Ste 120
Medina, OH 44256
Phone (330) 225-6468

8877 Mentor Ave
Mentor, OH 44060
Phone (440) 205-1225

Interoperability endpoints

  • FHIR API: https://5e3884cf-4770-450d-af77-2043acaa1ebe.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: ikinnaird82643@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1215663323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606211",
            "telephone_number": "440-205-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Royalton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "441472592",
            "country_code": "US",
            "telephone_number": "330-225-6468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4360 Fulton Dr NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182878",
            "country_code": "US",
            "telephone_number": "330-305-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Industrial Pkwy N Ste 110",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442126366",
            "country_code": "US",
            "telephone_number": "330-225-6468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3985 Medina Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565968",
            "country_code": "US",
            "telephone_number": "330-225-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNAIRD",
        "first_name": "IAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0031220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.