ELIZABETH KNECHT (MD) – Pediatric Otolaryngology Physician, NPI 1376801647

ELIZABETH KNECHT (MD) is a healthcare provider. based in Kettering, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 35.132804 (OH). The NPI Number for ELIZABETH KNECHT (MD) is 1376801647

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH KNECHT (MD)
NPI
1376801647
Phone
(937) 641-4000
Address
3535 Southern Blvd
Enumeration Date
24 April 2012
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9376414000
Graduation Year
2012 (14 years ago)
PAC ID
9931446382
Group Practice PAC ID
5496916124
Professional Enrollment ID
I20190123003988
Address ID
OH454041873DA1XXXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

537 OTOLARYNGOLOGY in OH

Provider Addresses for ELIZABETH KNECHT (MD)

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 641-4000

    Type: Location

  • 3333 W Tech Rd

    Miamisburg, OH 453420955

    Phone: (937) 641-4000

    Fax: (937) 641-4500

    Type: Location

  • 1 CHILDRENS PLZ

    DAYTON, OH 454041815

    Phone: (937) 641-3000

    Type: Mailing

  • PO BOX 933432

    CLEVELAND, OH 441930039

    Phone: (937) 641-3000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-01-23

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
I20190123003988IOtolaryngologyOHTBD

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 45429)

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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: 5496916124View full group profile
NameSpecialtyState
Critical Care (Intensivists)OH
Emergency Medicine, Pediatric MedicineNY
G A S T R O E N T E R O L O G YOH
-OH
Pediatric Medicine, General SurgeryOH
A N E S T H E S I O L O G YTN
Pediatric MedicineOH
Critical Care (Intensivists), Pediatric MedicineOH
H E M A T O L O G Y/ O N C O L O G YOH
Pediatric MedicineOH

Reviews

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Frequently asked questions

Can I use this page to confirm ELIZABETH KNECHT (MD)'s NPI?
Yes. ELIZABETH KNECHT (MD) is listed with NPI 1376801647 in the public NPI dataset.
Does the file indicate ELIZABETH KNECHT (MD) is practicing under active NPI?
Directory data currently reports ELIZABETH KNECHT (MD) as active.
What is ELIZABETH KNECHT (MD)'s specialty?
The listing groups ELIZABETH KNECHT (MD) with Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What area does ELIZABETH KNECHT (MD) serve?
ELIZABETH KNECHT (MD)'s listing highlights Kettering, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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