Kip L Newell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4617 / T1363 Issued in OH

Practice address

131 W Wyandot Ave
Upper Sandusky, OH 43351-1348

Phone

(419) 209-0540

Fax

(419) 209-0540

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kip Newell OD LLC

  • Optometrist
  • Upper Sandusky, OH
  • NPI 1205018413
  Medicare reassignment NPD
• A R Srikantiah MD Inc

  • Ophthalmology Physician
  • Cambridge, OH
  • NPI 1881887974
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1225017148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W WYANDOT AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511348",
            "telephone_number": "419-209-0540",
            "fax_number": "419-209-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W WYANDOT AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511348",
            "telephone_number": "419-209-0540",
            "fax_number": "419-209-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "KIP",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4617 / T1363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Miranda
• Noelia Moore, ED.S.
• Byron B. Morales, MD
• Tammy Sue Murphy, NP-C
• Joan S Musgrave, DDS
• Jennifer Mary Newman, CNP
• Renee Lynn Nieset, COTA/L
• Northwest Ohio Medical Equipment LLC
• Northwest Ohio Orthopedics and Sports Medicine, Inc
• Orians Family Chiropractic, Inc.

• Optometrist in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.