R Kim Kornhaus, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35066090 Issued in OH

Practice address

4907A Dalbey Lane
Berlin, OH 44610

Phone

(330) 893-2341

Fax

(330) 893-3027

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Ohio State University College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Holmes Family Care IncGroup PAC ID 4587642947, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148
• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337
• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Union Hospital Hospital, Dover, OH, CCN 360010
• Walnut Hills Nursing Home Nursing home, Walnut Creek, OH, CCN 366268

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rkimkornhaus@ehfci.allscriptsdirect.net

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.

• East Holmes Family Care Inc

  • Family Medicine Physician
  • Berlin, OH
  • NPI 1164411765
  Medicare reassignment Care Compare group NPD
• East Holmes Family Care Inc

  • Family Medicine Physician
  • Baltic, OH
  • NPI 1427171693
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation
• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation
• Walnut Hills Retirement Communities Inc

  • Skilled Nursing Facility
  • Walnut Creek, OH
  • NPI 1760645485

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1376524892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446100366",
            "telephone_number": "330-893-2341",
            "fax_number": "330-893-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907A DALBEY LANE",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "44610",
            "telephone_number": "330-893-2341",
            "fax_number": "330-893-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNHAUS",
        "first_name": "R",
        "middle_name": "KIM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35066090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M Flanagan, RDH
• Health Professionals of Holmes County, Inc
• Health Professionals of Holmes County, Inc
• Health Professionals of Holmes County, Inc.
• Whitney Michelle Hofstetter, NP
• Robert Lanchman, DDS
• Rodney Ray Mast, RPH
• Alexandra Laurel Miller, DPT
• Christine Diane Miller, DC
• Dawn R. Miller, FNP-BC

• Family Medicine Physician in Berlin, OH
• Providers in Berlin, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.