Individual provider Active NPI

Karin J. Ohlig, MD

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
National Provider Identifier
1780654699
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
210962 Issued in NY
Practice address
150 E Sunrise Hwy
Suite 201
Lindenhurst, NY 11757-2598
Phone
(631) 225-7200
Fax
(631) 225-4565
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 210962 NY Primary

Addresses

Primary practice location

150 E Sunrise Hwy
Suite 201
Lindenhurst, NY 11757-2598

Mailing address

150 E Sunrise Hwy
Suite 201
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

Other identifiers 1

IdentifierTypeStateIssuer
01857203MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170531000612 FL Practitioner - Diagnostic Radiology 1355322850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210962NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jan 21, 2020 Accepting new patients
Manatee Memorial Hospital L P CurrentSince May 1, 2017 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Manatee Memorial Hospital L P CurrentSince Jun 17, 2017 Accepting new patients
Vascular Specialists of Lakeland, LLC Past Accepting new patients

Locations

2620 N 3rd St
Ste 102
Phoenix, AZ 85004
Phone (602) 234-2994

3649 Cortez Rd W
Bradenton, FL 34210
Phone (941) 744-9000

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

1125 Miranda Ln
Kissimmee, FL 34741
Phone (689) 204-0153

10010 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (725) 937-6006

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1780654699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "SUITE 201",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-225-7200",
            "fax_number": "631-225-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "SUITE 201",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-225-7200",
            "fax_number": "631-225-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLIG",
        "first_name": "KARIN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "210962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.