Active NPI
Nicolay N. Kazimirko, M.D.
- Anesthesiology Physician
- Delaware, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.081544
- Practice address
- 561 W Central Ave
Delaware, OH 43015-1410 - Phone
- (740) 615-1324
- Fax
- (740) 615-1344
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 81544 | OH | |
| Anesthesiology Physician | 207L00000X | 01055180A | IN | |
| Anesthesiology Physician | 207L00000X | 35.081544 | OH | Primary |
Addresses
Primary practice location
561 W Central Ave
Delaware, OH 43015-1410
Mailing address
L-3396
Columbus, OH 43260-3396
Phone (740) 615-1324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2707416 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nkazimirko54919@direct.ohiohealth.com | OhioHealth Physician Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
393 E Town St
Columbus, OH 43215-4799
561 W Central Ave
Delaware, OH 43015-1410
Phone (614) 533-5500
Hospital & facility affiliations
- Grady Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055180A | IN | MD | Anesthesiology Physician |
| 81544 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Anesthesiology | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Grady Anesthesia Services, Inc | Past | Accepting new patients |
Locations
Dept L3652
Columbus, OH 43260
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983
4141 N Hampton Dr
Ste 103
Powell, OH 43065
Phone (740) 615-2850
4141 N Hampton Dr
Ste 100
Powell, OH 43065
Phone (614) 764-0200
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Specialist
- Delaware, OH
- NPI 1629014436
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delaware, OH
- NPI 1235174327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1881697142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "L-3396",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432603396",
"telephone_number": "740-615-1324",
"fax_number": "740-615-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 W CENTRAL AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151410",
"telephone_number": "740-615-1324",
"fax_number": "740-615-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZIMIRKO",
"first_name": "NICOLAY",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "81544",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01055180A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.081544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2707416",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkazimirko54919@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "561 W Central Ave",
"city": "Delaware",
"state": "OH",
"country_code": "US",
"postal_code": "430151410",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.