Individual provider Active NPI

Leonid Krupovlyanskiy

  • Clinic/Center
  • Columbus, OH
National Provider Identifier
1477368520
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Practice address
3354 E Broad St Ste a
Columbus, OH 43213-1031
Phone
(718) 915-0392
Fax
(614) 308-0102
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3354 E Broad St Ste a
Columbus, OH 43213-1031

Mailing address

3354 E Broad St Ste a
Columbus, OH 43213-1031
Phone (718) 915-0392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Home Health Care Inc Current Accepting new patients
Columbia Home Health Care Inc. Current Accepting new patients
Zion Healing Center of Ohio LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

3354 E Broad St
Ste A
Columbus, OH 43213
Phone (614) 456-7539

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1477368520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 E BROAD ST STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131031",
            "telephone_number": "718-915-0392",
            "fax_number": "614-308-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 E BROAD ST STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131031",
            "telephone_number": "718-915-0392",
            "fax_number": "614-308-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPOVLYANSKIY",
        "first_name": "LEONID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.