MS. KELLYE KAUFMAN AA-C
NPI 1710970082
Anesthesiologist Assistant in Cleveland, OH

Q: What is Kellye Kaufman's NPI number?

The NPI number for Kellye Kaufman is 1710970082. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Kellye Kaufman's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellye Kaufman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 23, 2005Accepts Medicare Assignment

2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-4801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Kellye Kaufman Aa-c NPPES

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

MS. KELLYE KAUFMAN AA-C (NPI 1710970082) is an individual anesthesiologist assistant in Cleveland, Ohio, licensed in Ohio (67000038) and active in the NPI registry since August 2005. She is a graduate of Other (1992).

NPPES Registry Identity

NPI1710970082

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameMS. KELLYE KAUFMANCredential: AA-C

Location Address2500 METROHEALTH DRCleveland, OH 44109-1900

Mailing Address4 Lyman CirShaker Heights, OH 44122-2163 · (216) 778-4801

Phone(216) 778-4801

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateAugust 23, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710970082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in OH · 67000038

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

2500 METROHEALTH DR, Cleveland, OH 44109

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Other Identifiers 2

Medicare ID-Type UnspecifiedKA8220442OH

Medicaid2548765OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kellye Kaufman Aa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395796049

PECOS Enrollment IDI20050210000007

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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.

AMIR RAZAVI MD

Internal Medicine