DR. JOSEPH ROBERT MASTANDREA (D.O.) – Internal Medicine Physician, NPI 1649262924

DR. JOSEPH ROBERT MASTANDREA (D.O.) is a healthcare provider. based in Kettering, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 34-003760 (OH). The NPI Number for DR. JOSEPH ROBERT MASTANDREA (D.O.) is 1649262924

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH ROBERT MASTANDREA (D.O.)
NPI
1649262924
Phone
(937) 298-7351
Address
4441 FAR HILLS AVE
Enumeration Date
22 August 2005
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
9374389064
Graduation Year
1983 (43 years ago)
PAC ID
7719900547
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20100611000829

Contacts

Secure Messaging
jmastandrea179403@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. JOSEPH ROBERT MASTANDREA (D.O.)

  • Far Hills Primary Care, 4441, Far Hills Avenue, Grantland Gardens, Dayton, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454292405

    Phone: (937) 298-7351

    Fax: (937) 298-9458

    Type: Location

  • Paragon Road, Centerville, Montgomery County, Ohio, 45458, United States

    STE A

    CENTERVILLE, OH 454594049

    Phone: (937) 438-9064

    Fax: (937) 438-5060

    Type: Mailing

  • 7668 Paragon Rd

    Ste A

    Centerville, OH 454594049

    Phone: (937) 438-9064

    Fax: (937) 438-5060

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    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: 2010-06-11

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
I20100611000829IInternal MedicineOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7647$0
99213Established patient office or other outpatient visit, 20-29 minutes4331$0
81003Automated urinalysis test2928$0
99215Established patient office or other outpatient visit, 40-54 minutes2626$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1414$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Provider's Procedures

DR. JOSEPH ROBERT MASTANDREA (D.O.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH81002Urinalysis, manual test6356
INTERNAL MEDICINEOH90670Pneumococcal vaccine for injection into muscle2929

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: 0840104360View full group profile

Reviews

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Frequently asked questions

Does DR. JOSEPH ROBERT MASTANDREA (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOSEPH ROBERT MASTANDREA (D.O.) uses 1649262924.
Does the file indicate DR. JOSEPH ROBERT MASTANDREA (D.O.) is practicing under active NPI?
Directory data currently reports DR. JOSEPH ROBERT MASTANDREA (D.O.) as active.
What taxonomy line describes DR. JOSEPH ROBERT MASTANDREA (D.O.)?
For research purposes, treat DR. JOSEPH ROBERT MASTANDREA (D.O.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOSEPH ROBERT MASTANDREA (D.O.)?
DR. JOSEPH ROBERT MASTANDREA (D.O.)'s geographic hint is Kettering, Ohio in our summary view.
Is the information about DR. JOSEPH ROBERT MASTANDREA (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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