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PREMIER HEALTH SPECIALISTS INC
NPI 1194958223
Internal Medicine in Moraine, OH

Active since August 24, 2009
3170 KETTERING BLVD, BUILDING B 3RD FLOOR, MORAINE, OH 45439(937) 991-3188(937) 223-9811 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Nov 8, 2024, Oct 21, 2019 and 2 more (5 updates tracked since 2017).

About Premier Health Specialists Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER HEALTH SPECIALISTS INC (NPI 1194958223) is a healthcare organization registered as an internal medicine in Moraine, Ohio and active in the NPI registry since August 2009. The organization maintains 7 additional practice locations and lists Renee Mock, Vp & Cfo - Ppn & Fidelity, as its authorized official.

NPPES Registry Identity

NPI1194958223
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER HEALTH SPECIALISTS INC
Location Address3170 KETTERING BLVD, BUILDING B 3RD FLOORMoraine, OH 45439-1924
Mailing Address3170 Kettering Blvd, Building B 3rd FloorMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Phone(937) 991-3188
Fax(937) 223-9811
Organization SubpartNo
Authorized OfficialRenee MockVp & Cfo - Ppn & Fidelity · (937) 208-6439
Enumeration DateAugust 24, 2009
Last NPPES UpdateJuly 27, 20265 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1194958223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedTransplant SurgeryTaxonomy 204F00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3170 KETTERING BLVD, Moraine, OH 45439
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Secondary Practice Locations 7

Location 12400 Lakeview Dr Ste 210Beavercreek, OH 45431-2581 · Phone (937) 312-1661 · Fax (937) 312-1701
Location 22400 Lakeview Dr Ste 220Beavercreek, OH 45431-2581 · Phone (937) 320-0630 · Fax (937) 320-0633
Location 32300 Miami Valley Dr Ste 380BCenterville, OH 45459-1297 · Phone (937) 832-9310 · Fax (937) 832-8613
Location 49000 N Main St Ste 233Englewood, OH 45415-1184 · Phone (937) 832-9310 · Fax (937) 832-8613
Location 5600 Aviator Ct, Ste 220Vandalia, OH 45377 · Phone (937) 335-3518 · Fax (937) 332-6857
Location 6600 Aviator Ct, Ste 210Vandalia, OH 45377 · Phone (937) 335-3561 · Fax (937) 339-1213
Location 72300 Miami Valley Dr Ste 260Centerville, OH 45459-1294 · Phone (937) 438-7800 · Fax (937) 438-7811

Other Identifiers 1

Medicaid0081671OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Health Specialists Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20050610000010Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

812

Medicare enrollment records show 812 clinicians reassign Medicare billing to Premier Health Specialists Inc, which bills Medicare for the services they deliver. Of these, 357 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner261
Obstetrics/Gynecology91
Neurology51
General Surgery46
Cardiovascular Disease (Cardiology)44
Orthopedic Surgery33
Vascular Surgery29
Interventional Cardiology28
36 other specialties229

Nearest to this location (20)

See all 812
Kara Warren, ACNP
Nurse Practitioner
NPI 1437422243
3120 GOVERNORS PLACE BLVD
Dayton, OH 45409
(937) 293-1622
✔ PECOS✔ Accepts Medicare0.3 mi
Satheesh Kathula, MD
Hematology/Oncology
NPI 1760432769
3120 GOVERNORS PLACE BLVD
Kettering, OH 45409
(937) 293-1622
✔ PECOS✔ Accepts Medicare0.3 mi
Tarek Sabagh, MD
Hematology/Oncology
NPI 1851348841
3120 GOVERNORS PLACE BLVD
Kettering, OH 45409
(937) 293-1622
✔ PECOS✔ Accepts Medicare0.3 mi
Manish Sheth, MD
Hematology/Oncology
NPI 1205832730
3120 GOVERNORS PLACE BLVD
Kettering, OH 45409
(937) 293-1622
✔ PECOS✔ Accepts Medicare0.3 mi
Jackilyn Wilson, NP
Nurse Practitioner
NPI 1811440092
3120 GOVERNORS PLACE BLVD
Dayton, OH 45409
(937) 293-1622
✔ PECOS✔ Accepts Medicare0.3 mi
Nicole Spencer, APRN
Nurse Practitioner
NPI 1467054874
3535 SOUTHERN BLVD
Kettering, OH 45429
(937) 298-4331
✔ PECOS✔ Accepts Medicare0.9 mi
Erin Vitale, RN, BSN
Nurse Practitioner
NPI 1639599277
3535 SOUTHERN BLVD
Kettering, OH 45429
(937) 395-6665
✔ PECOS✔ Accepts Medicare0.9 mi
Nicholas Doninger, PH.D
Clinical Psychologist
NPI 1134100761
3533 SOUTHERN BLVD SUITE 5200
Kettering, OH 45429
(937) 395-8043
✔ PECOS✔ Accepts Medicare0.9 mi
Nicole Fiore
Nurse Practitioner
NPI 1215546247
3533 SOUTHERN BLVD STE 5800
Kettering, OH 45429
(937) 439-3600
✔ PECOS✔ Accepts Medicare0.9 mi
Dimitrios Topalidis, MD
Thoracic Surgery
NPI 1578611182
3533 SOUTHERN BLVD STE 5650
Kettering, OH 45429
(937) 294-3611
✔ PECOS✔ Accepts Medicare0.9 mi
Erin Yontz, CRNP
Nurse Practitioner
NPI 1528024841
3533 SOUTHERN BLVD SUITE 4100
Kettering, OH 45429
(937) 395-8444
✔ PECOS✔ Accepts Medicare0.9 mi
Lisa Egbert, M.D.
Obstetrics/Gynecology
NPI 1457309973
3533 SOUTHERN BLVD STE 4600
Kettering, OH 45429
(937) 296-0167
✔ PECOS✔ Accepts Medicare0.9 mi
Kelly Marquez, APRN-CNP
Nurse Practitioner
NPI 1275115461
3533 SOUTHERN BLVD STE 2100
Kettering, OH 45429
(937) 395-8556
✔ PECOS✔ Accepts Medicare0.9 mi
Michael Guy, M.D.
Gynecological Oncology
NPI 1174773287
3700 SOUTHERN BLVD STE 201
Kettering, OH 45429
(855) 500-2873
✔ PECOS✔ Accepts Medicare1.0 mi
Nancy Hampton-Jones, CNS
Certified Clinical Nurse Specialist (CNS)
NPI 1881001535
3700 SOUTHERN BLVD STE 401
Dayton, OH 45429
(855) 500-2873
✔ PECOS✔ Accepts Medicare1.0 mi
Don Mascarenhas, MD
Physical Medicine and Rehabilitation
NPI 1679776157
3700 SOUTHERN BLVD STE 300
Kettering, OH 45429
(937) 643-9299
✔ PECOS✔ Accepts Medicare1.0 mi
Stacy Nagel, ACNP
Nurse Practitioner
NPI 1295119931
3700 SOUTHERN BLVD STE 300
Kettering, OH 45429
(193) 764-3929
✔ PECOS✔ Accepts Medicare1.0 mi
Neil Patel, D.O.
Neurosurgery
NPI 1275735250
3700 SOUTHERN BLVD STE 300
Kettering, OH 45429
(937) 643-9299
✔ PECOS✔ Accepts Medicare1.0 mi
Katlyn Robison, NP
Nurse Practitioner
NPI 1366148819
3700 SOUTHERN BLVD
Kettering, OH 45429
(937) 281-3800
✔ PECOS✔ Accepts Medicare1.0 mi
Juliet Wolford, M.D.
Obstetrics/Gynecology
NPI 1497002232
3700 SOUTHERN BLVD STE 201
Kettering, OH 45429
(855) 500-2873
✔ PECOS✔ Accepts Medicare1.0 mi
See all 812 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Health Specialists Inc's NPI number?

The NPI number for Premier Health Specialists Inc is 1194958223. It was assigned to this organization in the NPPES registry on August 24, 2009.

Where is Premier Health Specialists Inc located?

Premier Health Specialists Inc is located at 3170 Kettering Blvd Building B 3rd Floor, Moraine, OH 45439. The listed phone number is (937) 991-3188.

What is Premier Health Specialists Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premier Health Specialists Inc enrolled in Medicare?

Yes. Premier Health Specialists Inc is registered in the Medicare PECOS enrollment system.

When is Premier Health Specialists Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Premier Health Specialists Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 812 clinicians in 44 Medicare specialties reassign their Medicare billing to Premier Health Specialists Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (261), Obstetrics/Gynecology (91) and Neurology (51). Of these, 357 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Health Specialists Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Premier Health Specialists Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Health Specialists Inc was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.