Individual provider Active NPI

Kathryn Tloczynski, NP

  • Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1356537328
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP09572 Issued in OH
Practice address
650 Shawan Falls Dr
Dublin, OH 43017-2100
Phone
(614) 764-1711
Fax
(614) 889-2652
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP09572 OH Primary

Addresses

Primary practice location

650 Shawan Falls Dr
Dublin, OH 43017-2100

Mailing address

650 Shawan Falls Dr
Dublin, OH 43017-2100
Phone (614) 764-1711

Other identifiers 2

IdentifierTypeStateIssuer
1351OtherOHRR MEDICARE GRP PTAN
00737304OtherOHRR MEDICARE INDIVIDUAL PTAN

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000173 OH Practitioner - Nurse Practitioner 3072694140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

650 Shawan Falls Dr
Suite 105
Dublin, OH 43017-2100
Phone (614) 764-1711

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
75.48
Improvement activities
40
Cost
59.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP09572OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Dermatology & Cosmetic Surgery Center, Inc CurrentSince Aug 11, 2008 Accepting new patients
Affiliated Ambulatory Surgery Center LLC CurrentSince Aug 11, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

650 Shawan Falls Dr
Ste 105
Dublin, OH 43017
Phone (614) 764-1711

650 Shawan Falls Dr
Dublin, OH 43017
Phone (614) 764-1711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1356537328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SHAWAN FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172100",
            "telephone_number": "614-764-1711",
            "fax_number": "614-889-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SHAWAN FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172100",
            "telephone_number": "614-764-1711",
            "fax_number": "614-889-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLOCZYNSKI",
        "first_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP09572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP PTAN",
            "identifier": "1351",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE  INDIVIDUAL PTAN",
            "identifier": "00737304",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.