Individual provider Active NPI

Elizabeth Nabil Koffler, MD

  • Obstetrics & Gynecology Physician
  • Columbus, OH
National Provider Identifier
1376510917
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.084689 Issued in OH
Practice address
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone
(614) 566-5757
Fax
(614) 566-2338
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-08-4689 OH
Obstetrics & Gynecology Physician 207V00000X 35.084689 OH Primary

Addresses

Primary practice location

3535 Olentangy River Rd
Columbus, OH 43214-3908

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (614) 566-5757

Other practice location 1

460 W Central Ave
Suite D
Delaware, OH 43015-1435
Phone (740) 615-2700

Other identifiers 1

IdentifierTypeStateIssuer
2600251MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekoffler54956@direct.ohiohealth.com OhioHealth Physician Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000969 OH Practitioner - Obstetrics/Gynecology 9032123633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Ohio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

393 E Town St
Suite 116
Columbus, OH 43215-4799
Phone (614) 566-9108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.084689OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Obstetrics & Gynecology CurrentSince Oct 23, 2013 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 23, 2013 Accepting new patients
Ohiohealth Regional Physician Services, LLC PastSince Jan 17, 2022 Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

697 Thomas Ln
Columbus, OH 43214
Phone (614) 566-5414

Dept L3652
Columbus, OH 43260

460 W Central Ave
Ste D
Delaware, OH 43015
Phone (740) 615-2700

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

4141 N Hampton Dr
Ste 103
Powell, OH 43065
Phone (740) 615-2850

4141 N Hampton Dr
Ste 100
Powell, OH 43065
Phone (614) 764-0200

Organizations & group practices 5

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.

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1376510917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-566-5757",
            "fax_number": "614-566-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143908",
            "telephone_number": "614-566-5757",
            "fax_number": "614-566-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 W Central Ave",
            "address_2": "SUITE D",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430151435",
            "country_code": "US",
            "telephone_number": "740-615-2700",
            "fax_number": "740-615-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOFFLER",
        "first_name": "ELIZABETH",
        "middle_name": "NABIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-08-4689",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.084689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2600251",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekoffler54956@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "460 W Central Ave",
            "address_2": "Ste D",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430151435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.