NPIMap

Individual provider Active NPI

Kenneth J Biros, DO

  • Family Medicine Physician
  • Canal Fulton, OH
National Provider Identifier
1407819600
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34003948 Issued in OH
Practice address
9164 Ruby Ridge St NW
Canal Fulton, OH 44614-8795
Phone
(330) 854-1892
Fax
(330) 776-5557
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34003948 OH Primary

Addresses

Primary practice location

9164 Ruby Ridge St NW
Canal Fulton, OH 44614-8795

Mailing address

9164 Ruby Ridge St NW
Canal Fulton, OH 44614-8795
Phone (330) 854-1892

Other identifiers 1

IdentifierTypeStateIssuer
0707417MedicaidOH

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
I20031219000022 OH Practitioner - Family Practice 5991602575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12200 Strausser St NW
Canal Fulton, OH 44614-9479
Phone (330) 854-4177

220 Applegrove St NE
North Canton, OH 44720-1610
Phone (330) 499-8341

2308 Reno Dr
Louisville, OH 44641-9083
Phone (330) 875-5562

2350 S Cherry St
Alliance, OH 44601-5022
Phone (330) 821-3939

5425 High Mill Ave NW
Massillon, OH 44646-9005
Phone (330) 833-3174

9164 Ruby Ridge St NW
Canal Fulton, OH 44614-8795

Hospital & facility affiliations

  • Advantage Home Health Services, Inc Home health agency, North Canton, OH, CCN 368248
  • Crossroads Hospice of Northeast Ohio, LLC Hospice, Uniontown, OH, CCN 361625
  • Wellspring Hospice Hospice, Lorain, OH, CCN 361674
  • Aultman Hospice Hospice, Canton, OH, CCN 361556
  • Lifecare Hospice Hospice, Wooster, OH, CCN 361544
  • Southern Care Youngstown Hospice, Youngstown, OH, CCN 361617
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Saint Luke Lutheran Home Nursing home, North Canton, OH, CCN 365521
  • The Pavilion at Canal Fulton for Nursing and Rehab Nursing home, Canal Fulton, OH, CCN 366271
  • Green Meadows Skilled Nursing and Rehab Nursing home, Louisville, OH, CCN 365604
  • Saint Joseph Care Center Nursing home, Louisville, OH, CCN 365904
  • Bel Air Care Center Nursing home, Alliance, OH, CCN 366277

Merit-based Incentive Payment System (MIPS)

Final score
23.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3948OHMDCounseling Psychologist
34003948OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Care Center Family Medicine CurrentSince Oct 1, 2003 Accepting new patients
Crossroads Hospice of Northeast Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
St. Joseph Care Center Past Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC PastSince Nov 6, 2022 Accepting new patients
Seasons Healthcare Group, LLC Past Accepting new patients
Hartville Homes Inc Past Accepting new patients
17TH St Leasing Co LLC Past Accepting new patients
United Church Homes, Inc Past Accepting new patients
Doctors Hospital Physician Services LLC Past Accepting new patients
Pavilion at Canal Fulton, LLC Past Accepting new patients
Bath Creek Healthcare Group, Inc. Past Accepting new patients
Buckeye Forest at Canton LLC Past Accepting new patients
Gaslite Leasing, LLC Past Accepting new patients
David E Childs Jr Past Accepting new patients
St. Luke Lutheran Home for the Aging Past Accepting new patients
Doctors Hospital Physician Services LLC Family Medicine Past Accepting new patients
SJCC Opco-SNF, LLC Past Accepting new patients
Progressive Green Meadows, LLC Past Accepting new patients
Heather Knoll Retirement Village Inc Past Accepting new patients

Locations

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

6225 Frank Ave NW
North Canton, OH 44720
Phone (330) 493-3800

220 Applegrove St NE
North Canton, OH 44720
Phone (330) 449-8341

456 Seasons Rd
Stow, OH 44224
Phone (330) 688-5553

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pavilion at Canal Fulton for Nursing and RehabilitationCanal Fulton, OH, CCN 366271 Skilled nursing facility Adp of the SNF Dec 16, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1407819600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9164 RUBY RIDGE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148795",
            "telephone_number": "330-854-1892",
            "fax_number": "330-776-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9164 RUBY RIDGE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148795",
            "telephone_number": "330-854-1892",
            "fax_number": "330-776-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIROS",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

Verify at the official NPI Registry.