Kettering Health Medical Group – Family Medicine Physician, NPI 1437125572
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Kettering Health Medical Group
1, Prestige Plaza Drive, South Dayton, Miamisburg, Montgomery County, Ohio, 45342, United States
SUITE 550
MIAMISBURG, OH 453423794
Phone: (937) 762-1300
Fax: (937) 762-1319
Type: Mailing
1827 WOODMAN CENTER DR
KETTERING, OH 454201157
Phone: (937) 558-3223
Fax: (937) 558-3247
Type: Location
Innovation Way, Mound Advanced Technology Center, Bridgeport, Miamisburg, Montgomery County, Ohio, 45342, United States
SUITE 200
MIAMISBURG, OH 453424931
Phone: (937) 558-3223
Fax: (937) 558-3247
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-18
PECOS data refreshed: 2026-05-27
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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 45342)
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