ELAINE KOBERLEIN DO
NPI 1235874389
General Practice in Columbus, OH

Q: What is Elaine Koberlein's NPI number?

The NPI number for Elaine Koberlein is 1235874389. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Q: What is Elaine Koberlein's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Koberlein was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2022PECOS Enrolled

395 W 12TH AVE, COLUMBUS, OH 43210(614) 366-3214 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2023, May 3, 2022 (2 updates tracked since 2022).

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About Elaine Koberlein Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELAINE KOBERLEIN DO (NPI 1235874389) is an individual general practice provider in Columbus, Ohio, licensed in Ohio (58.032786) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1235874389

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameELAINE KOBERLEINCredential: DO

Location Address395 W 12TH AVEColumbus, OH 43210-1267

Mailing Address1044 Belmont AveYoungstown, OH 44504-1006 · (330) 480-2616

Phone(614) 366-3214

Sole ProprietorNo

Enumeration DateMay 3, 2022

Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1235874389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 58.032786

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 390200000X (OH)

395 W 12TH AVE, Columbus, OH 43210

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Secondary Practice Location 1

Location 11044 Belmont AveYoungstown, OH 44504-1006 · Phone (330) 480-2616

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine Koberlein Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHACHI SRIVATSA

Student in an Organized Health Care Education/Training Program