Individual provider Active NPI

Kasey Reynolds Marelic, MD

  • Reproductive Endocrinology Physician
  • Columbus, OH
National Provider Identifier
1538467683
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
35123721 Issued in OH
Practice address
8845 Lyra Dr
Columbus, OH 43240
Phone
(380) 222-2731
NPI assigned
Mar 14, 2011
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD500002958 DC
Reproductive Endocrinology Physician 207VE0102X ME166195 FL
Reproductive Endocrinology Physician 207VE0102X 97275 GA
Reproductive Endocrinology Physician 207VE0102X 036.166990 IL
Reproductive Endocrinology Physician 207VE0102X 01092222A IN
Reproductive Endocrinology Physician 207VE0102X C1920 KY
Reproductive Endocrinology Physician 207VE0102X 33258 WV
Reproductive Endocrinology Physician 207VE0102X 35123721 OH Primary

Addresses

Primary practice location

8845 Lyra Dr
Columbus, OH 43240

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

1585 N Barrington Rd Ste 401
Hoffman Estates, IL 60169-5020
Phone (847) 843-7090

Other practice location 2

6 Bronze Pointe S
Swansea, IL 62226-8307
Phone (314) 266-2062

Other practice location 3

2501 Compass Rd Ste 135
Glenview, IL 60026-8068
Phone (224) 404-2042

Other practice location 4

2172 Blackberry Dr Ste 204
Geneva, IL 60134-1106
Phone (815) 725-4341

Other practice location 5

2246 Weber Rd
Crest Hill, IL 60403-0928
Phone (815) 725-4161

Other practice location 6

1455 N Milwaukee Ave
Chicago, IL 60622-2015
Phone (773) 435-9036

Other practice location 7

333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Phone (773) 435-9029

Other practice location 8

3005 Peachtree Rd NE Ste 100
Atlanta, GA 30305-2214
Phone (470) 765-6347

Other practice location 9

3141 NE 1 Ave
Miami, FL 33137
Phone (305) 735-2307

Other practice location 10

1111 19th St NW Ste 104
Washington, DC 20036-3619
Phone (202) 301-3595

Other practice location 11

1530 Celebration Blvd Ste 200
Celebration, FL 34747-5165
Phone (407) 745-1669

Other names 1

  • Kasey Aileen Reynolds Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD500002958DCMDReproductive Endocrinology Physician
ME166195FLMDReproductive Endocrinology Physician
97275GAMDReproductive Endocrinology Physician
036.166990ILMDReproductive Endocrinology Physician
01092222AINMDReproductive Endocrinology Physician
C1920KYMDReproductive Endocrinology Physician
35123721OHMDReproductive Endocrinology Physician
33258WVMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Innovative Fertility of Ohio, LLC Reproductive Endocrinology Past Accepting new patients
Reena Jabamoni MDSC Past Accepting new patients
Peach State Medical Practice, PC Reproductive Endocrinology Past Accepting new patients
Vios Fertility Institute Chicago Reproductive Endocrinology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1538467683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 LYRA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43240",
            "telephone_number": "380-222-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 N Barrington Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601695020",
            "country_code": "US",
            "telephone_number": "847-843-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Bronze Pointe S",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268307",
            "country_code": "US",
            "telephone_number": "314-266-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Compass Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268068",
            "country_code": "US",
            "telephone_number": "224-404-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2172 Blackberry Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601341106",
            "country_code": "US",
            "telephone_number": "815-725-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2246 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604030928",
            "country_code": "US",
            "telephone_number": "815-725-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222015",
            "country_code": "US",
            "telephone_number": "773-435-9036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 S Desplaines St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606615514",
            "country_code": "US",
            "telephone_number": "773-435-9029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3005 Peachtree Rd NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052214",
            "country_code": "US",
            "telephone_number": "470-765-6347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3141 NE 1 Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33137",
            "country_code": "US",
            "telephone_number": "305-735-2307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 19th St NW Ste 104",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363619",
            "country_code": "US",
            "telephone_number": "202-301-3595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Celebration Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475165",
            "country_code": "US",
            "telephone_number": "407-745-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARELIC",
        "first_name": "KASEY",
        "middle_name": "REYNOLDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DC",
            "license": "MD500002958",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME166195",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "97275",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036.166990",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IN",
            "license": "01092222A",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "KY",
            "license": "C1920",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WV",
            "license": "33258",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35123721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "REYNOLDS",
            "middle_name": "AILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 21, 2024; 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.