Active NPI
Anthony Donald Kaminsky, DO
- Surgery Physician
- Bryan, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34.011581
- Practice address
- 433 W High St
Bryan, OH 43506-1690 - Phone
- (419) 630-2290
- Fax
- (419) 630-2301
- NPI assigned
- Nov 17, 2008
- Last updated
- Jul 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34.011581 | OH | Primary |
| Surgery Physician | 208600000X | 02004384A | IN | |
| Surgery Physician | 208600000X | 5101017755 | MI | |
| Surgery Physician | 208600000X | 05-44117 | KS |
Addresses
Primary practice location
433 W High St
Bryan, OH 43506-1690
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155277 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Westfield Dr
Archbold, OH 43502-1056
Phone (260) 266-8210
433 W High St
Bryan, OH 43506-1690
Phone (419) 630-2028
442 W High St
Bryan, OH 43506-1681
Phone (260) 266-8210
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.58
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.81 of 100
- Quality
- 80.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 42 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-44117 | KS | MD | Surgery Physician |
| 5101017755 | MI | MD | Surgery Physician |
| 34.011581 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitals and Wellness Centers | General Practice | Current | Accepting new patients |
| Center for Vein Restoration Oh LLC | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Center for Vein Restoration Oh LLC | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Legacy Foot & Ankle PLLC | Past | Accepting new patients | |
| Trihealth H LLC | Surgery | Past | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
3156 Dustin Rd
Ste 100
Oregon, OH 43616
Phone (312) 718-3051
Interoperability endpoints
- akaminsky86540@direct.parkviewexchange.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Bryan, OH
- NPI 1619915170
-
- Vascular Surgery Physician
- Oregon, OH
- NPI 1679026751
-
- General Practice Physician
- Bryan, OH
- NPI 1225167893
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sylvania, OH
- NPI 1255292298
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
-
dba SSM Health St. Mary's Hospital - Centralia
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
- Foot & Ankle Surgery Podiatrist
- Rochester Hills, MI
- NPI 1518778687
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1255586301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061690",
"telephone_number": "419-630-2290",
"fax_number": "419-630-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKY",
"first_name": "ANTHONY",
"middle_name": "DONALD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-17",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "34.011581",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "02004384A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101017755",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "05-44117",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155277",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.