Individual provider Active NPI

Kristen A Ekman, MD

  • Obstetrics & Gynecology Physician
  • Lakewood, OH
National Provider Identifier
1992754659
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35082139 Issued in OH
Practice address
1450 Belle Ave
Suite 300
Lakewood, OH 44107-4202
Phone
(216) 529-2913
Fax
(216) 529-2936
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35082139 OH Primary

Addresses

Primary practice location

1450 Belle Ave
Suite 300
Lakewood, OH 44107-4202

Mailing address

1450 Belle Ave
Suite 300
Lakewood, OH 44107-4202
Phone (216) 529-2913

Other identifiers 6

IdentifierTypeStateIssuer
341542312132OtherOHCARESOURCE
350965OtherOHWELLCARE
2398972MedicaidOH
P00350531OtherOHCARERR
737357OtherOHBCHP
P00705920OtherOHRAILROAD CARE

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
I20061121000504 OH Practitioner - Obstetrics/Gynecology 5294733515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1450 Belle Ave
Lakewood, OH 44107-4211
Phone (216) 237-6300

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

850 Columbia Rd
Westlake, OH 44145-7213

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082139OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jun 8, 2010 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1450 Belle Ave
Ste 310
Lakewood, OH 44107
Phone (216) 227-2500

14601 Detroit Ave
Lakewood, OH 44107
Phone (216) 237-5500

1450 Belle Ave
Ste 300
Lakewood, OH 44107
Phone (216) 529-2913

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: kekmanmd5201@direct.ccf.org

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.

Hospital & facility affiliations 3

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1992754659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BELLE AVE",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074202",
            "telephone_number": "216-529-2913",
            "fax_number": "216-529-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BELLE AVE",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074202",
            "telephone_number": "216-529-2913",
            "fax_number": "216-529-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKMAN",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35082139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341542312132",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "350965",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2398972",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARERR",
            "identifier": "P00350531",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHP",
            "identifier": "737357",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "P00705920",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.