KEVIN THOMAS LITZENBERG – Gastroenterology Physician, NPI 1255894754

KEVIN THOMAS LITZENBERG is a healthcare provider. based in Columbus, Ohio. specializing in INTERNAL MEDICINE. They hold a License No. 56789 (KY). The NPI Number for KEVIN THOMAS LITZENBERG is 1255894754

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN THOMAS LITZENBERG
NPI
1255894754
Phone
(614) 293-3989
Address
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER
Enumeration Date
11 April 2019
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
8593413575
Graduation Year
2019 (7 years ago)
PAC ID
1951635069
Group Practice PAC ID
0840289914
Professional Enrollment ID
I20241107001937
Address ID
KY410173409CR425XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

Provider Addresses for KEVIN THOMAS LITZENBERG

  • THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER

    293 W 12TH AVE

    COLUMBUS, OH 43210

    Phone: (614) 293-3989

    Fax: (614) 293-9789

    Type: Location

  • PO BOX 636324

    CINCINNATI, OH 452636324

    Phone: (859) 341-3575

    Fax: (859) 341-5702

    Type: Mailing

  • 425 CENTRE VIEW BLVD

    CRESTVIEW HILLS, KY 410173409

    Phone: (859) 341-3575

    Fax: (859) 341-5702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($39).

Total Amount

$81

General + Research + Ownership

Payments

4

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241107001937IInternal MedicineKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840289914View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YKY
G A S T R O E N T E R O L O G YKY
Nurse PractitionerKY
Physician AssistantKY
G A S T R O E N T E R O L O G YKY
Gastroenterology, Internal MedicineKY
Nurse PractitionerKY
G A S T R O E N T E R O L O G YKY
Gastroenterology, Internal MedicineKY
P A T H O L O G YKY

Reviews

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Frequently asked questions

How is KEVIN THOMAS LITZENBERG identified in CMS data?
CMS-hosted NPPES data lists KEVIN THOMAS LITZENBERG with NPI 1255894754.
Does CMS list KEVIN THOMAS LITZENBERG as active?
Yes — KEVIN THOMAS LITZENBERG is active in the NPI listing used on this page.
What is KEVIN THOMAS LITZENBERG best known for clinically?
Directory data describes KEVIN THOMAS LITZENBERG with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KEVIN THOMAS LITZENBERG on a map?
Expect Columbus, Ohio as a primary anchor for KEVIN THOMAS LITZENBERG unless the record lists multiple sites.
Why does KEVIN THOMAS LITZENBERG have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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