Individual provider Active NPI

Theresa N Kaufman, APRN-CRNA

  • Certified Registered Nurse Anesthetist
  • Westerville, OH
National Provider Identifier
1588616239
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.00090 Issued in OH
Practice address
500 S Cleveland Ave
St. Ann's Hospital Anesthesiology Dept
Westerville, OH 43081-8971
Phone
(614) 898-6659
Fax
(614) 898-8631
NPI assigned
May 17, 2006
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.00090 OH Primary

Addresses

Primary practice location

500 S Cleveland Ave
St. Ann's Hospital Anesthesiology Dept
Westerville, OH 43081-8971

Mailing address

PO Box 20452
Coa-Credentialing
Columbus, OH 43220-0452
Phone (614) 442-2410

Other practice location 1

6700 University Blvd
Dublin, OH 43016-3508
Phone (614) 293-8487

Other identifiers 1

IdentifierTypeStateIssuer
0841772MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000255 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729094974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Ohio PLLCGroup PAC ID 2769743335, 14 clinicians

Practice addresses (Care Compare)

6520 W Campus Oval
New Albany, OH 43054-8726
Phone (614) 413-2233

Merit-based Incentive Payment System (MIPS)

Final score
46.32 of 100Reported as group
Quality
0
Promoting interoperability
99
Improvement activities
0
Cost
65.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.00090OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Albany Orthopedic Anesthesia LLC CurrentSince Aug 26, 2023 Accepting new patients
East Columbus Surgery Center LLC CurrentSince Sep 29, 2006 Accepting new patients
East Columbus Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 29, 2006 Accepting new patients
Orange ASC, LTD Past Accepting new patients

Locations

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

50 McNaughten Rd
Ste 102
Columbus, OH 43213
Phone (614) 864-0641

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1588616239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "address_2": "COA-CREDENTIALING",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-442-2410",
            "fax_number": "614-583-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S CLEVELAND AVE",
            "address_2": "ST. ANN'S HOSPITAL ANESTHESIOLOGY DEPT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818971",
            "telephone_number": "614-898-6659",
            "fax_number": "614-898-8631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430163508",
            "country_code": "US",
            "telephone_number": "614-293-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "THERESA",
        "middle_name": "N",
        "credential": "APRN-CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.00090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0841772",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.