Individual provider Active NPI

Robin Dale Kravitz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1326044652
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002713 Issued in OH
Practice address
941 Chatham LN
Suite 215
Columbus, OH 43221-2416
Phone
(614) 457-3894
Fax
(614) 457-5698
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36002713 OH Primary

Addresses

Primary practice location

941 Chatham LN
Suite 215
Columbus, OH 43221-2416

Mailing address

941 Chatham LN
Suite 215
Columbus, OH 43221-2416
Phone (614) 457-3894

Other identifiers 1

IdentifierTypeStateIssuer
0976672MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000665 OH Practitioner - Podiatry 6204860828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Foot and Ankle LLCGroup PAC ID 6204097751, 2 clinicians

Practice addresses (Care Compare)

6024 Hoover Rd
Grove City, OH 43123-8133

6024 Hoover Rd F
Grove City, OH 43123-8133
Phone (614) 539-4964

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue421
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002713OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Sep 23, 2019 Accepting new patients
Greater Columbus Foot & Ankle Group Foot & Ankle Surgery Past Accepting new patients

Locations

6024 Hoover Rd
Ste F
Grove City, OH 43123
Phone (614) 539-4964

6024 Hoover Rd
Grove City, OH 43123
Phone (614) 599-1826

18 Grace Dr
Powell, OH 43065
Phone (614) 888-3377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJGBA/Endpoint/CAJGBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1326044652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LN",
            "address_2": "SUITE 215",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-457-3894",
            "fax_number": "614-457-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LN",
            "address_2": "SUITE 215",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-457-3894",
            "fax_number": "614-457-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "ROBIN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976672",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.