Individual provider Active NPI

Courtney Y. Kauh, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Gahanna, OH
National Provider Identifier
1245524768
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
35131736 Issued in OH
Practice address
725 Buckles CT N Ste 110
Gahanna, OH 43230-6884
Phone
(614) 434-8445
Fax
(614) 368-7393
NPI assigned
Jun 1, 2011
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35131736 OH
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 35131736 OH Primary

Addresses

Primary practice location

725 Buckles CT N Ste 110
Gahanna, OH 43230-6884

Mailing address

725 Buckles CT N Ste 110
Gahanna, OH 43230-6884
Phone (614) 434-8445

Other identifiers 1

IdentifierTypeStateIssuer
0243500MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckauh@ckeyelids.emadirect.md

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
I20170929002204 OH Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 0244550036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Toledo College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 Buckles CT N
Gahanna, OH 43230-6884
Phone (614) 434-8445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J. Terebuh MD Inc Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Columbus Eyelid Plastic Surgery, LLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Feb 25, 2021 Accepting new patients
Ohio State University Hospitals PastSince Sep 1, 2017 Accepting new patients

Locations

1107 Rush Ave
Bellefontaine, OH 43311
Phone (513) 593-3881

725 Buckles Ct N
Ste 110
Gahanna, OH 43230
Phone (614) 204-2326

Interoperability endpoints

  • Direct secure messaging: ckauh@ckeyelids.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1245524768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BUCKLES CT N STE 110",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306884",
            "telephone_number": "614-434-8445",
            "fax_number": "614-368-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BUCKLES CT N STE 110",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306884",
            "telephone_number": "614-434-8445",
            "fax_number": "614-368-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUH",
        "first_name": "COURTNEY",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35131736",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35131736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243500",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckauh@ckeyelids.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "direct mail",
            "address_1": "725 Buckles Ct N Ste 110",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432306884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.