NPIMap

Individual provider Active NPI

Adil Omar Katabay, MD

  • Pain Medicine (Anesthesiology) Physician
  • Marion, OH
National Provider Identifier
1346204039
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35080847 Issued in OH
Practice address
1065 Delaware Ave
Suite a
Marion, OH 43302
Phone
(740) 387-7246
Fax
(740) 387-7244
NPI assigned
Apr 12, 2006
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Anesthesiology Physician 207L00000X 35080847 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 35080847 OH Primary
Medical Laboratory Technician 246RM2200X NU

Addresses

Primary practice location

1065 Delaware Ave
Suite a
Marion, OH 43302

Mailing address

1065 Delaware Ave
Suite a
Marion, OH 43302
Phone (740) 387-7246

Other identifiers 1

IdentifierTypeStateIssuer
2318414MedicaidOH

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
I20040414001024 OH Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7012901622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Marion Pain Center, LLCGroup PAC ID 8224166996, 4 clinicians

Practice addresses (Care Compare)

1065 Delaware Ave
Suite a
Marion, OH 43302-6415
Phone (740) 387-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080847OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Pain Center, LLC Addiction (Substance Use Disorder) CurrentSince Apr 1, 2010 Accepting new patients
BKC Laboratory LLC Current Accepting new patients
Marion Pain Center, LLC CurrentSince Jan 1, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
BKC Pain Specialists, LLC Pain Medicine Past Accepting new patients
The Pain Clinic, Inc Pain Medicine Past Accepting new patients

Locations

1065 Delaware Ave
Ste A
Marion, OH 43302
Phone (614) 568-4646

1199 Delaware Ave
Ste 108
Marion, OH 43302
Phone (740) 375-0200

Interoperability endpoints

  • Direct secure messaging: akatabay@bps-oh.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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 2

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1346204039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "OH",
            "postal_code": "43302",
            "telephone_number": "740-387-7246",
            "fax_number": "740-387-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "OH",
            "postal_code": "43302",
            "telephone_number": "740-387-7246",
            "fax_number": "740-387-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATABAY",
        "first_name": "ADIL",
        "middle_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35080847",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35080847",
            "primary": true
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2318414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.