Individual provider Active NPI

Kurt A Berlekamp, PA-C

  • Physician Assistant
  • New Albany, OH
National Provider Identifier
1457344855
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.001014 Issued in OH
Practice address
7277 Smiths Mill Rd Ste 200
New Albany, OH 43054-8195
Phone
(614) 221-6331
Fax
(614) 221-9042
NPI assigned
Aug 31, 2005
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.001014 OH Primary
Surgical Physician Assistant 363AS0400X 50.001014RX OH

Addresses

Primary practice location

7277 Smiths Mill Rd Ste 200
New Albany, OH 43054-8195

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779

Other practice location 1

20 University Estates Blvd Unit 100
Athens, OH 45701-2967
Phone (740) 566-4640

Other identifiers 1

IdentifierTypeStateIssuer
0078731MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BerlekampK@jisortho.com Direct

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
I20091207000188 OH Practitioner - Physician Assistant 4486793361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961

7277 Smiths Mill Rd
New Albany, OH 43054-8195
Phone (614) 221-6331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1014OHMDChiropractor
50.001014OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD Physician Assistant CurrentSince Feb 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Feb 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Starpath Orthopaedics & Sports Medicine, Inc. Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

7277 Smiths Mill Rd
Ste 200
New Albany, OH 43054
Phone (614) 220-0398

45280 National Rd
Saint Clairsville, OH 43950
Phone (740) 247-7955

Interoperability endpoints

  • Direct secure messaging: berlekampk@jisortho.com
  • Direct secure messaging: kurt.berlekamp.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1457344855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-713-1779",
            "fax_number": "513-854-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 SMITHS MILL RD STE 200",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548195",
            "telephone_number": "614-221-6331",
            "fax_number": "614-221-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 University Estates Blvd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012967",
            "country_code": "US",
            "telephone_number": "740-566-4640",
            "fax_number": "740-566-4641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLEKAMP",
        "first_name": "KURT",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001014",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.001014RX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078731",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BerlekampK@jisortho.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Access",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7277 Smiths Mill Rd",
            "address_2": "Suite 200",
            "city": "New Albany",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430548195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.