Individual provider Active NPI

Kamali L. Bouvay, M.D.

  • Pediatrics Physician
  • West Chester, OH
National Provider Identifier
1770791287
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.091295 Issued in OH
Practice address
8040 Princeton Glendale Rd
West Chester, OH 45069-5802
Phone
(513) 246-7000
Fax
(513) 246-5484
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.091295 OH Primary

Addresses

Primary practice location

8040 Princeton Glendale Rd
West Chester, OH 45069-5802

Mailing address

8040 Princeton Glendale Rd
West Chester, OH 45069-5802
Phone (513) 246-7000

Other practice location 1

3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3039
Phone (513) 636-7966

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
I20080821000412 OH Practitioner - Pediatric Medicine 9931274255 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Pediatrics CurrentSince Feb 1, 2024 Accepting new patients
Trihealth G, LLC CurrentSince Feb 1, 2024 Accepting new patients
Children'S Hospital Medical Center Pediatrics CurrentSince Jan 18, 2015 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
#2008
Cincinnati, OH 45229
Phone (513) 636-7966

8040 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 346-5065

Interoperability endpoints

  • Direct secure messaging: kbouvay411478@direct.trihealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1770791287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 PRINCETON GLENDALE RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695802",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 PRINCETON GLENDALE RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695802",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_2": "ML 2008",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293039",
            "country_code": "US",
            "telephone_number": "513-636-7966",
            "fax_number": "513-636-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUVAY",
        "first_name": "KAMALI",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.091295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.