Individual provider Active NPI

Kafilat Idowu Kelani

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1447796750
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.019917 Issued in OH
Practice address
3700 Kolbe Rd, Lorain
Lorain, OH 44053
Phone
(440) 960-4000
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP.019917 OH Primary

Addresses

Primary practice location

3700 Kolbe Rd, Lorain
Lorain, OH 44053

Mailing address

3700 Kolbe Rd, Lorain
Lorain, OH 44053
Phone (440) 960-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403002642 OH Practitioner - Nurse Practitioner 5395021497 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP.019917OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Aug 1, 2020 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Sep 16, 2017 Accepting new patients
Community Hospitalist, LLC Family CurrentSince Feb 17, 2017 Accepting new patients
Kingston Care Partners, LLC CurrentSince Jun 28, 2021 Accepting new patients
The Metrohealth System CurrentSince Aug 1, 2020 Accepting new patients
Hni Medical Services of Ohio, LLC Family CurrentSince Sep 18, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Sep 8, 2022 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

4210 Telegraph Ln
Vermilion, OH 44089
Phone (440) 276-6577

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Organizations & group practices 7

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 3

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1447796750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD, LORAIN",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-960-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD, LORAIN",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-960-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELANI",
        "first_name": "KAFILAT",
        "middle_name": "IDOWU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.019917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.