Kelly Kirsten O'Malia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35073030 Issued in OH

Practice address

6265 State Route 45
Bristolville, OH 44402

Phone

(330) 889-9009

Fax

(330) 889-9278

NPI assigned

May 31, 2005

Last updated

Feb 11, 2009By the provider in NPPES

Sex

Female

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 5

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: komalia627348@ehrdirect.uhhospitals.org

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.

• University Hospitals Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Beachwood, OH
  • NPI 1124765052
  Medicare reassignment Care Compare group NPD
• Kelly K. Omalia MD Inc.

  dba Bristolville Family Health Center

  • Family Medicine Physician
  • Bristolville, OH
  • NPI 1184627408
  Authorized official Same address or phone
• University Hospitals Urgent Care, LLC

  dba UH Chagrin Highlands Urgent Care

  • Urgent Care Clinic/Center
  • Beachwood, OH
  • NPI 1457070989
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1376546697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 STATE ROUTE 45",
            "address_2": "PO BOX 280",
            "city": "BRISTOLVILLE",
            "state": "OH",
            "postal_code": "444020280",
            "telephone_number": "330-889-9009",
            "fax_number": "330-889-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 STATE ROUTE 45",
            "city": "BRISTOLVILLE",
            "state": "OH",
            "postal_code": "44402",
            "telephone_number": "330-889-9009",
            "fax_number": "330-889-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALIA",
        "first_name": "KELLY",
        "middle_name": "KIRSTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122385",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5300780",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "835645",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000284981",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO0020658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bristol Local Schools
• Iva Byler
• Heather M Goelz
• Kelly K. Omalia MD Inc. (Bristolville Family Health Center)
• Valerie Wilding Lewis, RN
• Tracy Peterson Jr.
• Gina M Rigg
• Tamara Ann Roembke-Crooks
• Jamie Lee Sell, RN
• Karen Kay Spitler, RN

• Family Medicine Physician in Bristolville, OH
• Providers in Bristolville, 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 Feb 11, 2009; 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.