Individual provider Active NPI

Kerfala Fofana, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1508072331
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007046RX Issued in OH
Practice address
410 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-8305
Fax
(614) 293-3124
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9105531 FL
Physician Assistant 363A00000X 50.007046RX OH Primary

Addresses

Primary practice location

410 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8000

Other names 1

  • Kerfala Fofana Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20071005000520 FL Practitioner - Physician Assistant 6507951514 Reassigns benefits to 1 organization
I20210902003171 OH Practitioner - Physician Assistant 6507951514 Reassigns benefits to 8 organizations
I20251203004354 PA Practitioner - Physician Assistant 6507951514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Emergency Medicine LLCGroup PAC ID 2668386673, 169 clinicians
Osu Observation Medicine, LLCGroup PAC ID 3375692270, 423 clinicians

Practice addresses (Care Compare)

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 685-3357

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8305

450 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8305

452 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8305

460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8305

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-3200

6700 University Blvd
Dublin, OH 43016-3508
Phone (614) 293-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as apm
Quality
71.78
Promoting interoperability
98.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as apm
Quality
71.78
Promoting interoperability
98.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.007046RXOHMDPhysician Assistant
9105531FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Bedford Memorial CurrentSince Dec 1, 2025 Accepting new patients
Upmc Altoona CurrentSince Dec 15, 2025 Accepting new patients
Upmc Altoona CurrentSince Dec 15, 2025 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Nov 1, 2023 Accepting new patients
Upmc Bedford Memorial CurrentSince Dec 1, 2025 Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Clover Emergency Physicians LLC Past Accepting new patients
Lake Monroe Emergency Physicians LLC Past Accepting new patients
Horizon Health Care, Inc Past Accepting new patients
Observation Medicine Specialists LLC Past Accepting new patients

Locations

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

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 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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1508072331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8305",
            "fax_number": "614-293-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "KERFALA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9105531",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007046RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERFALA",
            "last_name": "FOFANA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.