Individual provider Active NPI

Loic N. Kiza, C.N.P.

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1326494212
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRNCNP019547 Issued in OH
Practice address
460 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-3196
Fax
(614) 293-4812
NPI assigned
May 10, 2016
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRNCNP019547 OH Primary
Personal Emergency Response Attendant 146D00000X RN.353363 OH
Internal Medicine Physician 207R00000X CNP.019547 OH

Addresses

Primary practice location

460 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

8664 Copperview Dr Ste 570
Dublin, OH 43016-8439
Phone (380) 206-4137

Other names 1

  • Loic Ndamukijumukiza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161024001784 OH Practitioner - Nurse Practitioner 7113205386 Reassigns benefits to 1 organization
I20250617004063 NY Practitioner - Nurse Practitioner 7113205386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.353363OHMDPersonal Emergency Response Attendant
CNP.019547OHMDInternal Medicine Physician
APRNCNP019547OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unify Medical Practice Internal Medicine Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 13, 2025 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1326494212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8664 COPPERVIEW DR STE 570",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168439",
            "telephone_number": "380-206-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-3196",
            "fax_number": "614-293-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZA",
        "first_name": "LOIC",
        "middle_name": "N.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNP019547",
            "primary": true
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "RN.353363",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "CNP.019547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIC",
            "last_name": "NDAMUKIJUMUKIZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.