Internal Medicine and Pediatrics of Centerville – Internal Medicine Physician, NPI 1154376242

Internal Medicine and Pediatrics of Centerville is a healthcare provider. based in Centerville finance, Ohio. specializing in Internal Medicine Physician. The NPI Number for Internal Medicine and Pediatrics of Centerville is 1154376242

Main info

Organization
Name
Internal Medicine and Pediatrics of Centerville
NPI
1154376242
Phone
(937) 208-7300
Address
6611 CLYO RD
Authorized Official
KENNETH PRUNIER CEO/PRESIDENT
Enumeration Date
24 May 2006
Last Update Date
6 November 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Internal Medicine and Pediatrics of Centerville

  • 6611 CLYO RD

    SUITE A

    CENTERVILLE FINANCE, OH 454592786

    Phone: (937) 208-7300

    Fax: (937) 208-7330

    Type: Location

  • 6611, Clyo Road, Whispering Oaks Condominiums, Centerville, Montgomery County, Ohio, 45459, United States

    SUITE A

    CENTERVILLE, OH 454592786

    Phone: (937) 208-7300

    Fax: (937) 208-7330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 45459)

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Reviews

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Frequently asked questions

What is the standard ID for Internal Medicine and Pediatrics of Centerville in the U.S.?
In the U.S., Internal Medicine and Pediatrics of Centerville is identified by NPI 1154376242.
Should I treat Internal Medicine and Pediatrics of Centerville as an active provider?
Patients and plans typically see Internal Medicine and Pediatrics of Centerville as active in the national extract.
How should patients interpret Internal Medicine and Pediatrics of Centerville's specialty?
The extract shows Internal Medicine Physician for Internal Medicine and Pediatrics of Centerville. Clinical services aligned with this taxonomy classification.
Is Internal Medicine and Pediatrics of Centerville tied to Centerville Finance, Ohio?
If you are local to Centerville Finance, Ohio, Internal Medicine and Pediatrics of Centerville may be relevant to your search.
Can I export Internal Medicine and Pediatrics of Centerville's record?
You can download the official NPPES record; we summarize key fields for readability.

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