Individual provider Active NPI

Kristin Oaks, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1801891643
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-7232-0 Issued in OH
Practice address
4845 Knightsbridge Blvd Ste 220
Columbus, OH 43214-2463
Phone
(614) 299-5838
Fax
(614) 299-5929
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 34-00-7232-0 OH Primary

Addresses

Primary practice location

4845 Knightsbridge Blvd Ste 220
Columbus, OH 43214-2463

Mailing address

455 Riley Ave
Worthington, OH 43085-3038
Phone (614) 216-7288

Other practice location 1

770 Jasonway Ave
Ste. 2A
Columbus, OH 43214
Phone (614) 785-9333

Other identifiers 1

IdentifierTypeStateIssuer
2291256MedicaidOH

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
I20050114000121 OH Practitioner - Family Practice 9830148030 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2015 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
John Balko and Associates Inc Family Medicine PastSince Jan 1, 2000 Accepting new patients

Locations

770 Jasonway Ave
Ste 2A
Columbus, OH 43214
Phone (614) 457-8888

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

2030 Stringtown Rd
Fl 3
Grove City, OH 43123
Phone (614) 544-0101

Interoperability endpoints

  • Direct secure messaging: koaks18854@copcp.medicity.net

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801891643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 RILEY AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853038",
            "telephone_number": "614-216-7288",
            "fax_number": "614-785-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 KNIGHTSBRIDGE BLVD STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142463",
            "telephone_number": "614-299-5838",
            "fax_number": "614-299-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Jasonway Ave",
            "address_2": "Ste. 2A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43214",
            "country_code": "US",
            "telephone_number": "614-785-9333",
            "fax_number": "614-785-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OAKS",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-7232-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2291256",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.