Individual provider Active NPI

Kathy A Horava, DO

  • Family Medicine Physician
  • Grandview Heights, OH
National Provider Identifier
1215990775
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006310 Issued in OH
Practice address
1125 Yard St Ste 250
Grandview Heights, OH 43212-3930
Phone
(614) 788-8150
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 34006310 OH Primary

Addresses

Primary practice location

1125 Yard St Ste 250
Grandview Heights, OH 43212-3930

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

770 Jasonway Ave
Suite 1B
Columbus, OH 43214-4333
Phone (614) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
2048644MedicaidOH

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
I20041014001258 OH Practitioner - Family Practice 9436119369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006310OHMDFamily Medicine Physician
6310OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 31, 2015 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Dec 31, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Family Practice Services Past Accepting new patients

Locations

770 Jasonway Ave
Columbus, OH 43214
Phone (614) 326-1000

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

1120 Polaris Pkwy
Ste 100
Columbus, OH 43240
Phone (614) 459-0974

Dept L3652
Columbus, OH 43260

770 Jasonway Ave
Ste 1B
Columbus, OH 43214
Phone (614) 788-2730

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

1125 Yard St
Ste 250
Grandview Heights, OH 43212
Phone (614) 788-8150

Organizations & group practices 4

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1215990775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 YARD ST STE 250",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432123930",
            "telephone_number": "614-788-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Jasonway Ave",
            "address_2": "Suite 1B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432144333",
            "country_code": "US",
            "telephone_number": "614-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORAVA",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048644",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview Heights, OH

Sources for this page

Verify at the official NPI Registry.