NPIMap

Individual provider Active NPI

Mark D Kahle, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1881915288
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.010793 Issued in OH
Practice address
4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953
Phone
(614) 268-6555
Fax
(614) 457-5713
NPI assigned
Jun 20, 2010
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 34.010793 OH Primary

Addresses

Primary practice location

4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953

Mailing address

4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953
Phone (614) 268-6555

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
I20130522000447 OH Practitioner - Family Practice 4789822289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.010793OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince May 5, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Feb 6, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

4885 Olentangy River Rd
Ste 1-20
Columbus, OH 43214
Phone (614) 268-6555

3224 Jarvis Rd
Lima, OH 45807
Phone (419) 996-5757

750 W High St
Ste 250
Lima, OH 45801
Phone (419) 227-7399

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

601 US Route 224
Ottawa, OH 45875
Phone (419) 228-8950

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: mkahle18880@copcp.medicity.net

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, 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": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1881915288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 1-20",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141953",
            "telephone_number": "614-268-6555",
            "fax_number": "614-457-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 1-20",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141953",
            "telephone_number": "614-268-6555",
            "fax_number": "614-457-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLE",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-20",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.010793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.