Bong S Kauh, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

35057848 Issued in OH

Practice address

4242 Cobblestone Dr
Copley, OH 44321-2925

Phone

(330) 666-5617

Fax

(330) 666-5657

NPI assigned

Mar 22, 2006

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Geriatric Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summa Hospice Hospice, Akron, OH, CCN 361608
• Bath Manor Special Care Centre Nursing home, Akron, OH, CCN 365847

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Akron Geriatric, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Copley, OH
  • NPI 1811160401
  Medicare reassignment NPD Authorized official
• Bath Manor Limited Partnership

  • Skilled Nursing Facility
  • Akron, OH
  • NPI 1497855480
  NPD (past)
• Heritage Ohio Leasing Co., LLC

  dba Copley Health Center

  • Skilled Nursing Facility
  • Copley, OH
  • NPI 1861483430
  NPD (past)

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

• Bath Manor Limited Partnership

  • Skilled Nursing Facility
  • Akron, OH
  • NPI 1497855480

  Nursing home

  Care Compare affiliation
• Summa Home Health and Hospice, LLC

  dba Summa Hospice

  • Community Based Hospice Care Agency
  • Akron, OH
  • NPI 1548775364
  Care Compare affiliation

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1457310005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STOW AVE STE 200",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212560",
            "telephone_number": "330-564-2629",
            "fax_number": "330-546-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 COBBLESTONE DR",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443212925",
            "telephone_number": "330-666-5617",
            "fax_number": "330-666-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUH",
        "first_name": "BONG",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35057848",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35057848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000561240",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00478827",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veda Cleaves Joyner, OTR/L
• Justbreathetalkline
• Bernadette E Kall
• Paul Michael Kaput, D.D.S.
• Christine E Kasting
• Abeta Elamii Kbyii, RN
• Wendy Lynn Kelley, DPT
• Taureen Kennedy, LPN
• Mary Shannon Kerns, MOT, OTR/L
• Sarah Khan, OTR/L

• Geriatric Medicine (Family Medicine) Physician in Copley, OH
• Providers in Copley, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.