NPIMap

Individual provider Active NPI

Kristine D. Slam, M.D.

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1396917274
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.090887 Issued in OH
Practice address
6075 E Broad St
Columbus, OH 43213-5131
Phone
(614) 864-6363
Fax
(614) 864-2248
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.090887 OH Primary

Addresses

Primary practice location

6075 E Broad St
Columbus, OH 43213-5131

Mailing address

6075 E Broad St
Columbus, OH 43213-5131
Phone (614) 864-6363

Other identifiers 1

IdentifierTypeStateIssuer
2925437MedicaidOH

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
I20080806000209 OH Practitioner - General Surgery 2668546839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Toledo Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians
Central Ohio Surgical AssociatesGroup PAC ID 6002003258, 16 clinicians

Practice addresses (Care Compare)

477 Cooper Rd
Suite 300
Westerville, OH 43081-8057
Phone (614) 898-8808

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000

6075 E Broad St
Columbus, OH 43213-5131

6484 E Main St
Reynoldsburg, OH 43068-2493
Phone (614) 864-6363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy36
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jul 1, 2012 Accepting new patients
Mount Carmel Health System Surgery CurrentSince Jul 1, 2012 Accepting new patients
Mount Carmel Health Past Accepting new patients
Metropolitan Surgery, Inc Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Victor Dizon, D.O., Facos, Inc Past Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

750 Mount Carmel Mall
Ste 350
Columbus, OH 43222
Phone (614) 221-5189

85 McNaughten Rd
Ste 350
Columbus, OH 43213
Phone (614) 221-5189

777 W State St
Ste 501
Columbus, OH 43222
Phone (614) 222-8000

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

815 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 234-9822

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Interoperability endpoints

  • Direct secure messaging: kslam@cosadocs.gwaydirect.com

Organizations & group practices 8

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 6

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1396917274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135131",
            "telephone_number": "614-864-6363",
            "fax_number": "614-864-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135131",
            "telephone_number": "614-864-6363",
            "fax_number": "614-864-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAM",
        "first_name": "KRISTINE",
        "middle_name": "D.",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.090887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2925437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.