Active NPI
Kimberly Bradshaw Austin, MD
- Family Medicine Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 84109
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2511508 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84109 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Family Medicine | Current | Accepting new patients |
| Ohiohealth Urgent Care LLC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kaustin7820@direct.ohiohealth.com
- 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.
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1811207160
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Physical Therapist
- Columbus, OH
- NPI 1780718668
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Valencia, CA
- NPI 1750361655
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grant Medical Center
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
dba Riverside Methodist Hospital
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
dba OhioHealth Laboratory Systems
- Clinical Medical Laboratory
- Columbus, OH
- NPI 1710916945
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.