Individual provider Active NPI

Martin L Kelsten, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dublin, OH
National Provider Identifier
1952303752
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35059066 Issued in OH
Practice address
7500 Hospital Dr
Dublin Methodist Hospital Pathology Dept
Dublin, OH 43016-8518
Phone
(614) 544-8356
Fax
(614) 544-8091
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 35059066 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35059066 OH Primary

Addresses

Primary practice location

7500 Hospital Dr
Dublin Methodist Hospital Pathology Dept
Dublin, OH 43016-8518

Mailing address

PO Box 20452
Corpath Cred
Columbus, OH 43220-0452
Phone (614) 442-2406

Other identifiers 2

IdentifierTypeStateIssuer
0761331MedicaidOH
220023476OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059066OHMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1952303752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "address_2": "CORPATH CRED",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-442-2406",
            "fax_number": "614-442-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HOSPITAL DR",
            "address_2": "DUBLIN METHODIST HOSPITAL PATHOLOGY DEPT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168518",
            "telephone_number": "614-544-8356",
            "fax_number": "614-544-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSTEN",
        "first_name": "MARTIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "OH",
            "license": "35059066",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35059066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0761331",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "220023476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.