Kettering Health Urgent Care – Urgent Care Clinic/Center, NPI 1952714420

Kettering Health Urgent Care is a healthcare provider. based in Miamisburg, Ohio. specializing in Urgent Care Clinic/Center. The NPI Number for Kettering Health Urgent Care is 1952714420

Main info

Organization
Name
Kettering Health Urgent Care
NPI
1952714420
Phone
(937) 762-1305
Address
1 PRESTIGE PL
Authorized Official
TIMOTHY Y KO CREDENTIALING SPECIALIST
Enumeration Date
3 June 2014
Last Update Date
10 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness80
Years active:12State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Kettering Health Urgent Care

  • 1 PRESTIGE PL

    SUITE 550

    MIAMISBURG, OH 453423794

    Phone: (937) 762-1305

    Fax: (937) 522-7513

    Type: Mailing

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

  • 50 N PROGRESS DR

    XENIA, OH 453852666

    Phone: (937) 352-2850

    Fax: (937) 352-2854

    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: 2014-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (141 days away).

Enrollment records

1

Earliest due date

2026-10-31

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
O20140924002196OPhysician - Family PracticeOH2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 45342)

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Reviews

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Frequently asked questions

What unique ID ties claims to Kettering Health Urgent Care?
NPI 1952714420 is assigned to Kettering Health Urgent Care under the national enumeration system.
Is Kettering Health Urgent Care's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does Kettering Health Urgent Care treat or focus on?
Patients typically see Kettering Health Urgent Care under the specialty Urgent Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for Kettering Health Urgent Care?
The page summarizes Miamisburg, Ohio for Kettering Health Urgent Care; expand the address list for detail.
What if Miamisburg, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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