Individual provider Active NPI

Constantine N Kroustos, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbus, OH
National Provider Identifier
1750404984
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35087492 Issued in OH
Practice address
4895 Olentangy River Rd
Suite 100
Columbus, OH 43214-1926
Phone
(614) 457-7732
Fax
(614) 457-4346
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35087492 OH Primary

Addresses

Primary practice location

4895 Olentangy River Rd
Suite 100
Columbus, OH 43214-1926

Mailing address

4895 Olentangy River Rd
Suite 100
Columbus, OH 43214-1926
Phone (614) 457-7732

Other identifiers 1

IdentifierTypeStateIssuer
2835632MedicaidOH

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
I20080710000172 OH Practitioner - Endocrinology 5193897007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Ohio State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1800 Granville Pike
Lancaster, OH 43130-1043
Phone (740) 785-4678

3535 Fishinger Blvd
Suite 285
Hilliard, OH 43026-7560
Phone (614) 527-2562

3578 Fishinger Blvd
Hilliard, OH 43026-7503
Phone (614) 457-4806

4030 W Henderson Rd
Columbus, OH 43220-2287
Phone (614) 442-7550

4100 Horizons Dr
Suite 100
Columbus, OH 43220-5280
Phone (614) 457-1793

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1953

4885 Olentangy River Rd
Columbus, OH 43214-1993

4895 Olentangy River Rd
Columbus, OH 43214-1185

5070 Bradenton Ave
Dublin, OH 43017-3520
Phone (614) 764-1777

5130 Bradenton Ave
Dublin, OH 43017-7068

625 Africa Rd
Westerville, OH 43082-0002

770 Jasonway Ave
Suite G2
Columbus, OH 43214-4333
Phone (614) 459-3687

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

874 Proprietors Rd
Worthington, OH 43085-3152
Phone (614) 885-9405

90 E William St
Delaware, OH 43015-2149
Phone (740) 362-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35087492OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Endocrinology, Diabetes & Metabolism Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2008 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jul 1, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

4895 Olentangy River Rd
Ste 100
Columbus, OH 43214
Phone (614) 457-7732

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

Interoperability endpoints

  • Direct secure messaging: dkroustos19184@copcp.medicity.net

Organizations & group practices 4

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 7

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1750404984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 OLENTANGY RIVER RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141926",
            "telephone_number": "614-457-7732",
            "fax_number": "614-457-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 OLENTANGY RIVER RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141926",
            "telephone_number": "614-457-7732",
            "fax_number": "614-457-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUSTOS",
        "first_name": "CONSTANTINE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35087492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2835632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.