Individual provider Active NPI

Kevin Lee Schroeder, M.D.

  • Nephrology Physician
  • Columbus, OH
National Provider Identifier
1982662078
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35075154S Issued in OH
Practice address
929 Jasonway Ave
Columbus, OH 43214-2464
Phone
(614) 538-2250
Fax
(614) 538-2256
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35075154S OH
Nephrology Physician 207RN0300X 35075154S OH Primary

Addresses

Primary practice location

929 Jasonway Ave
Columbus, OH 43214-2464

Mailing address

929 Jasonway Ave
Columbus, OH 43214-2464
Phone (614) 538-2250

Other identifiers 1

IdentifierTypeStateIssuer
2124543MedicaidOH

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
I20101109001292 OH Practitioner - Nephrology 4082637731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Nephrology Associates IncGroup PAC ID 8022058585, 22 clinicians

Practice addresses (Care Compare)

929 Jasonway Ave
Columbus, OH 43214-2330
Phone (614) 538-2250

Hospital & facility affiliations

  • DaVita Canal Winchester Dialysis Dialysis facility, Canal Winchester, OH, CCN 362815
  • DaVita Park Side Dialysis Dialysis facility, Westerville, OH, CCN 362783
  • DaVita Columbus East Dialysis Dialysis facility, Columbus, OH, CCN 362629
  • Davita Taylor Park Dialysis Dialysis facility, Reynoldsburg, OH, CCN 722506
  • DaVita Heart of New Albany Dialysis Dialysis facility, New Albany, OH, CCN 362854
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Nephrology Asociates, Inc. Nephrology Current Accepting new patients
Riverside Nephrology Associates, Inc. Specialist CurrentSince Jul 8, 2002 Accepting new patients
Dca of Delaware County LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3568 Gender Rd
Canal Winchester, OH 43110
Phone (614) 834-3564

815 W Broad St
Ste 320
Columbus, OH 43222
Phone (614) 221-0222

929 Jasonway Ave
Columbus, OH 43214
Phone (614) 538-2256

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

285 E State St
Ste 260
Columbus, OH 43215
Phone (614) 566-9035

1788 Columbus Pike
Delaware, OH 43015
Phone (740) 369-4870

6024 Hoover Rd
Ste F
Grove City, OH 43123
Phone (614) 539-4964

1221 Delaware Ave
Marion, OH 43302
Phone (740) 375-0849

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

1485 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 392-3436

241 W Schrock Rd
Westerville, OH 43081
Phone (614) 882-1734

Interoperability endpoints

  • Direct secure messaging: kschroeder30164@direct.acumenmd.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kschroeder216652@direct.osumc.edu

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1982662078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142464",
            "telephone_number": "614-538-2250",
            "fax_number": "614-538-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142464",
            "telephone_number": "614-538-2250",
            "fax_number": "614-538-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35075154S",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35075154S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2124543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.