Kenneth Iwuafor, PA-C, CAQ-PSYCH

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004316RX Issued in OH

Practice address

2700 E Dublin Granville Rd Ste 300KK
Columbus, OH 43231-4094

Phone

(614) 284-3446

Fax

(614) 633-1534

NPI assigned

Jul 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kamsi Healthcare Corporation

  • Addiction Psychiatry Physician
  • Columbus, OH
  • NPI 1134832645
  Medicare reassignment Authorized official
• Midwest Integrated Care LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1346104486
  Medicare reassignment NPD
• Barrie Behavioral Health and Wellness, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1285300574
  Medicare reassignment
• Incare Health Solutions LLC

  dba Walk in Urgent Care

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403
  Medicare reassignment
• Incare Health Solutions, LLC

  dba Walk in Clinic

  • Primary Care Nurse Practitioner
  • Ontario, OH
  • NPI 1639621824

  Physician Assistant

  NPD

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1609250273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E DUBLIN GRANVILLE RD STE 300KK",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314094",
            "telephone_number": "614-284-3446",
            "fax_number": "614-633-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E DUBLIN GRANVILLE RD STE 300KK",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314094",
            "telephone_number": "614-284-3446",
            "fax_number": "614-633-1534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3964 Hamilton Square Blvd # 43125",
            "address_purpose": "LOCATION",
            "city": "Groveport",
            "state": "OH",
            "postal_code": "431259119",
            "country_code": "US",
            "telephone_number": "614-453-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWUAFOR",
        "first_name": "KENNETH",
        "credential": "PA-C, CAQ-PSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "50.004316RX",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "OH",
            "license": "50.004316RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004316RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakeya Ivory, LPN
• Shana Tiari Ivory
• Megan Lea Ivy, MD
• Hitomi Iwasaki, PHARMD
• Obiajulu Hans Iwenofu, MD
• Rose U Iwuafor, LPN
• Iya-Home-Health-Care-Services
• Umalkhayr Osman Iye
• Anitha Swaminathan Iyer, RPH
• Manoj H. Iyer, M.D.

• Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.