| Nicholai Ian Kiehl, MD | |
|
11141 Parkview Plaza Dr, Suite 320, Fort Wayne, IN 46845-1713 | |
| (260) 482-8681 | |
| (260) 266-9240 |
| Full Name | Nicholai Ian Kiehl |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 11141 Parkview Plaza Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124269055 | NPI | - | NPPES |
| 201228420 | Medicaid | IN | |
| 0119494 | Medicaid | OH | |
| H411160 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35125593 (Ohio) | Secondary |
| 208800000X | Urology | 01073785A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adams Memorial Hospital | Decatur, IN | Hospital |
| Van Wert County Hospital | Van wert, OH | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Community Hospitals And Wellness Centers | Bryan, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adams County Memorial Hospital | 0941198253 | 76 |
| Entity Name | Adams County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689696148 PECOS PAC ID: 0941198253 Enrollment ID: O20041001000326 |
| Entity Name | Lutheran Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholai Ian Kiehl, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Nicholai Ian Kiehl, MD 11141 Parkview Plaza Dr, Suite 320, Fort Wayne, IN 46845-1713 Ph: (260) 482-8681 |
Claire Aubrey, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825 Phone: 260-458-3045 Fax: 260-479-2947 | |
Dr. Sable Paige Locke, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417 | |
Dr. Christopher J Keto, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 205b, Fort Wayne, IN 46804 Phone: 260-458-3460 Fax: 260-458-3461 | |
Michael Rudoff, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825 Phone: 260-458-3045 Fax: 260-479-2947 | |
David L Pollifrone, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417 | |
George W. Bowers, Urology Medicare: Not Enrolled in Medicare Practice Location: 12002 Haddington Court, Fort Wayne, IN 46814 Phone: 260-625-3872 Fax: 260-524-5390 |