Individual provider Active NPI

Kimberly S Klapchar, DO

  • Otolaryngology Physician
  • Bellefontaine, OH
National Provider Identifier
1831581032
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34.014335 Issued in OH
Practice address
1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017
Phone
(937) 592-9799
Fax
(937) 592-9789
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34.014335 OH Primary

Addresses

Primary practice location

1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017

Mailing address

1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017
Phone (937) 592-9799

Other identifiers 1

IdentifierTypeStateIssuer
0405290MedicaidOH

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
I20200710002734 OH Practitioner - Otolaryngology 5890061428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

1134 N Main St
Suite 3100
Bellefontaine, OH 43311-0017
Phone (937) 651-3270

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

209 Lippincott LN
Urbana, OH 43078-9802
Phone (937) 599-7058

Hospital & facility affiliations

  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Jul 28, 2020 Accepting new patients
Mary Rutan Hospital Otolaryngology CurrentSince Jul 28, 2020 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1134 N Main St
Ste 3100NEUROLOGY
Bellefontaine, OH 43311

1134 N Main St
Ste 3100
Bellefontaine, OH 43311
Phone (937) 651-6441

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

921 E Sandusky Ave
Bellefontaine, OH 43311
Phone (513) 599-3085

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

120 W Main St
Russells Point, OH 43348
Phone (937) 843-2048

8200 State Route 366
Ste 8
Russells Pt, OH 43348
Phone (937) 292-5063

209 Lippincott Ln
Urbana, OH 43078
Phone (937) 599-7058

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

Organizations & group practices 5

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 1

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1831581032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N MAIN ST STE 3100",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433110017",
            "telephone_number": "937-592-9799",
            "fax_number": "937-592-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N MAIN ST STE 3100",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433110017",
            "telephone_number": "937-592-9799",
            "fax_number": "937-592-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAPCHAR",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34.014335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0405290",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.