Individual provider Active NPI

Christine Kufahl, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1790302008
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006528RX Issued in OH
Practice address
9500 Euclid Ave # S90
Cleveland, OH 44195-0001
Phone
(216) 442-5616
Fax
(216) 444-9463
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006528RX OH Primary

Addresses

Primary practice location

9500 Euclid Ave # S90
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave # S90
Cleveland, OH 44195-0001
Phone (216) 442-5616

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029002534 OH Practitioner - Physician Assistant 6103236369 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 725-1000

12300 McCracken Rd
Garfield Heights, OH 44125-2914

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

18901 Lake Shore Blvd
Euclid, OH 44119-1078
Phone (216) 531-9000

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-7396

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

8300 Norton Pkwy
Mentor, OH 44060-6601
Phone (216) 444-2200

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Euclid Hospital Hospital, Euclid, OH, CCN 360082
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006528RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians, Lorain, LLC CurrentSince Nov 9, 2020 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Wooster Clinic, LLC CurrentSince Oct 26, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 26, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

9500 Euclid Ave
#S90
Cleveland, OH 44195
Phone (216) 444-8370

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

3600 Kolbe Rd
Ste 206
Lorain, OH 44053
Phone (440) 222-4180

3600 Kolbe Rd
Ste 223
Lorain, OH 44053
Phone (440) 222-4661

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 9

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 5

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1790302008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # S90",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-442-5616",
            "fax_number": "216-444-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # S90",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-442-5616",
            "fax_number": "216-444-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFAHL",
        "first_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006528RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.