Individual provider Active NPI

Kimberly Bradshaw Austin, MD

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1730299066
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84109 Issued in OH
Practice address
300 Polaris Pkwy
Suite 3000
Westerville, OH 43082-7989
Phone
(614) 533-3354
Fax
(614) 533-3228
NPI assigned
Aug 30, 2006
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84109 OH Primary

Addresses

Primary practice location

300 Polaris Pkwy
Suite 3000
Westerville, OH 43082-7989

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other identifiers 1

IdentifierTypeStateIssuer
2511508MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaustin7820@direct.ohiohealth.com OhioHealth Physician Group

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
I20040927001158 OH Practitioner - Family Practice 3971572991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

393 E Town St
Suite 116
Columbus, OH 43215-4799
Phone (614) 566-9108

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84109OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 20, 2004 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Sep 20, 2004 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Apr 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
U.S. Healthworks Medical Group of Ohio, Inc, Past Accepting new patients
US Healthworks Medical Group Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

500 E Main St
Ste 100
Columbus, OH 43215
Phone (614) 222-2202

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

300 Polaris Pkwy
Ste 3000
Westerville, OH 43082
Phone (614) 533-3354

4850 E Main St
Whitehall, OH 43213
Phone (614) 523-2266

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kaustin7820@direct.ohiohealth.com
  • Direct secure messaging: kimberly.austin.1@16701.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1730299066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY",
            "address_2": "SUITE 3000",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "614-533-3354",
            "fax_number": "614-533-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KIMBERLY",
        "middle_name": "BRADSHAW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "84109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2511508",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaustin7820@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "300 Polaris Pkwy",
            "address_2": "Ste 3000",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430827989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.