NPIMap

Individual provider Active NPI

Karl L Oberer, DO

  • Family Medicine Physician
  • Sandusky, OH
National Provider Identifier
1295728509
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
340047980 Issued in OH
Practice address
2537 Columbus Ave
Sandusky, OH 44870-5548
Phone
(419) 625-8609
Fax
(419) 625-2470
NPI assigned
Aug 23, 2005
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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 340047980 OH Primary

Addresses

Primary practice location

2537 Columbus Ave
Sandusky, OH 44870-5548

Mailing address

2537 Columbus Ave
Sandusky, OH 44870-5548
Phone (419) 625-8609

Other identifiers 1

IdentifierTypeStateIssuer
0813427MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000668 OH Practitioner - Family Practice 4082703806 Reassigns benefits to 1 organization
Practice locations: Sandusky, OH

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

703 Tyler St
Sandusky, OH 44870-3391

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340047980OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Feb 8, 2016 Accepting new patients
North Coast Professional Company, LLC Family Medicine CurrentSince Feb 8, 2016 Accepting new patients
Huron Health Care Center, Inc. Past Accepting new patients

Locations

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

1912 Hayes Ave
Ste 1
Sandusky, OH 44870

2520 Columbus Ave
Ste F
Sandusky, OH 44870
Phone (567) 867-2520

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: karl.oberer@fpg.medicity.net

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Firelands Professional CenterSandusky, OH, CCN 360025 Hospital Corporate Director Apr 26, 2004
Firelands Regional Medical CenterSandusky, OH, CCN 36T025 Hospital Corporate Director Apr 26, 2004
Admiral's Pointe Nursing & RehabilitationHuron, OH, CCN 365968 Skilled nursing facility Adp of the SNF May 1, 2005
Firelands Regional Medical Center Home Health ServicesSandusky, OH, CCN 367691 Home health agency Corporate Director Apr 26, 2004

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 9

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1295728509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 COLUMBUS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705548",
            "telephone_number": "419-625-8609",
            "fax_number": "419-625-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 COLUMBUS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705548",
            "telephone_number": "419-625-8609",
            "fax_number": "419-625-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERER",
        "first_name": "KARL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "340047980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813427",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.