Active NPI
Kirk A Powers, P.A.
- Physician Assistant
- Westerville, OH
National Provider Identifier
1730492570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.002993
- Practice address
- 615 Copeland Mill Rd Ste 2D
Westerville, OH 43081-8904 - Phone
- (614) 939-2308
- Fax
- (614) 939-2309
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.002993 | OH | Primary |
Addresses
Primary practice location
615 Copeland Mill Rd Ste 2D
Westerville, OH 43081-8904
Mailing address
164 Wetherby LN Ste B
Westerville, OH 43081-4957
Phone (614) 939-2308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50.002993RX | Other | OH | STATE OF OHIO MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002993 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C G Reddy MD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Lancaster, OH
- NPI 1063490803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1730492570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 WETHERBY LN STE B",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430814957",
"telephone_number": "614-939-2308",
"fax_number": "614-939-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 COPELAND MILL RD STE 2D",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818904",
"telephone_number": "614-939-2308",
"fax_number": "614-939-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "KIRK",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO MEDICAL BOARD",
"identifier": "50.002993RX",
"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 Dec 2, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.