NPIMap

Individual provider Active NPI

Karen L Klaege, MD

  • Family Medicine Physician
  • Port Clinton, OH
National Provider Identifier
1790996262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57008962 Issued in OH
Practice address
621 Fulton St
Port Clinton, OH 43452-2034
Phone
(419) 732-6520
NPI assigned
May 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57008962 OH Primary

Addresses

Primary practice location

621 Fulton St
Port Clinton, OH 43452-2034

Mailing address

525 Rockwell St
Sandusky, OH 44870-4743
Phone (419) 609-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071210000017 OH Practitioner - Family Practice 8123117447 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magruder Medical Group LTDGroup PAC ID 1951675198, 13 clinicians

Practice addresses (Care Compare)

611 Fulton St
Port Clinton, OH 43452-2008

621 Fulton St
Port Clinton, OH 43452-2034
Phone (419) 301-4328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.49 of 100Reported as group
Quality
55.95
Promoting interoperability
89
Improvement activities
40
Cost
74.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57008962OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magruder Medical Group LTD Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

11697 W State Route 163
Oak Harbor, OH 43449
Phone (419) 898-0993

611 Fulton St
Ste C
Port Clinton, OH 43452
Phone (419) 732-6500

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

621 Fulton St
Port Clinton, OH 43452
Phone (419) 301-4328

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790996262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROCKWELL ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704743",
            "telephone_number": "419-609-9100",
            "fax_number": "419-609-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522034",
            "telephone_number": "419-732-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAEGE",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57008962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

Verify at the official NPI Registry.