Individual provider Active NPI

Susan S Kais, MD

  • Gastroenterology Physician
  • West Chester, OH
National Provider Identifier
1265607667
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME118875 Issued in FL
Practice address
7675 Wellness Way
West Chester, OH 45069-2509
Phone
(513) 475-7505
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME118875 FL
Gastroenterology Physician 207RG0100X PENDING OH
Gastroenterology Physician 207RG0100X ME118875 FL Primary

Addresses

Primary practice location

7675 Wellness Way
West Chester, OH 45069-2509

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200

Other practice location 1

310 Lafayette Ave SE
Suite 400
Grand Rapids, MI 49503
Phone (616) 752-6525

Other practice location 2

2415 N Orange Ave Ste 200
Orlando, FL 32804-5505
Phone (407) 303-9921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160601001366 MI Practitioner - Gastroenterology 1456578590
I20220808000721 FL Practitioner - Gastroenterology 1456578590 Reassigns benefits to 1 organization
I20240716001029 OH Practitioner - Gastroenterology 1456578590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

7675 Wellness Way
West Chester, OH 45069-2509
Phone (513) 475-7400

Hospital & facility affiliations

  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Upper gastrointestinal (GI) endoscopy for acid reflux46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGOHMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
University of Cincinnati Medical Center, LLC Current Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Jun 20, 2022 Accepting new patients
Grand River Gastroenterology PC Gastroenterology CurrentSince Jun 1, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 20, 2022 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2415 N Orange Ave
Ste 200
Orlando, FL 32804
Phone (407) 303-1812

310 Lafayette Ave SE
Ste 4
Grand Rapids, MI 49503
Phone (616) 752-6525

310 Lafayette Ave SE
Ste 400
Grand Rapids, MI 49503
Phone (616) 752-6525

310 Lafayette Ave SE
Ste 40
Grand Rapids, MI 49503
Phone (616) 752-6525

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

222 Piedmont Ave
Ste 2200
Cincinnati, OH 45219
Phone (513) 621-7777

7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400

Interoperability endpoints

  • Direct secure messaging: susankais@directaddress.net
  • Direct secure messaging: skais663882@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1265607667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 WELLNESS WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692509",
            "telephone_number": "513-475-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Lafayette Ave SE",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49503",
            "country_code": "US",
            "telephone_number": "616-752-6525",
            "fax_number": "616-752-6556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 N Orange Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045505",
            "country_code": "US",
            "telephone_number": "407-303-9921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAIS",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME118875",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME118875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.