DR. KATHLEEN A. GUTMAN (MD) – Pediatrics Physician, NPI 1639134992
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KATHLEEN A. GUTMAN (MD)
25 MERCHANT STREET
SUITE 220
CINCINNATI, OH 452463740
Phone: (513) 533-6507
Fax: (513) 645-9767
Type: Mailing
1516 YANKEE PARK PL
DAYTON, OH 454581878
Phone: (937) 438-1115
Fax: (937) 438-1291
Type: Mailing
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-5072
Fax: (937) 641-6129
Type: Mailing
1425 N FAIRFIELD RD STE 120
BEAVERCREEK, OH 454322674
Phone: (937) 320-3888
Fax: (937) 320-3848
Type: Location
1425 N FAIRFIELD RD.
STE 120
BEAVERCREEK, OH 454324543
Phone: (937) 320-3888
Fax: (937) 320-3848
Type: Location
PriMed Physicians, 2322, Lakeview Drive, Beavercreek, Greene County, Ohio, 45431, United States
BEAVERCREEK, OH 454312771
Phone: (937) 320-3888
Fax: (937) 320-3848
Type: Location
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: 2023-10-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231018000478 | I | Pediatric Medicine | OH | TBD |
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.
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 45246)
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