Individual provider Active NPI

Kelsey Lyn Maag, D.O.

  • Obstetrics & Gynecology Physician
  • Hilliard, OH
National Provider Identifier
1720615495
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34-017059 Issued in OH
Practice address
3841 Trueman Court
Hilliard, OH 43026
Phone
(614) 777-4801
Fax
(614) 777-8644
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.017059 OH
Obstetrics & Gynecology Physician 207V00000X 34-017059 OH Primary

Addresses

Primary practice location

3841 Trueman Court
Hilliard, OH 43026

Mailing address

3841 Trueman Court
Hilliard, OH 43026
Phone (614) 777-4801

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712001871 OH Practitioner - Obstetrics/Gynecology 8123459872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1620 Brigham Dr
Perrysburg, OH 43551-7124
Phone (567) 585-2040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-017059OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Aug 1, 2025 Accepting new patients
Promedica Central Physicians Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Dec 31, 2024 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Dec 31, 2024 Accepting new patients
The Toledo Hospital Past Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

3841 Trueman Ct
Hilliard, OH 43026
Phone (614) 777-4801

1620 Brigham Dr
Perrysburg, OH 43551
Phone (567) 585-2040

1620 Brigham Dr
Ste 140
Perrysburg, OH 43551
Phone (419) 893-2455

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1720615495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 TRUEMAN COURT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-777-4801",
            "fax_number": "614-777-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 TRUEMAN COURT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-777-4801",
            "fax_number": "614-777-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAG",
        "first_name": "KELSEY",
        "middle_name": "LYN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.017059",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34-017059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.