KALI HOLLINGSWORTH D.O.
NPI 1245565944
Family Medicine in Dayton, OH
About Kali Hollingsworth D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALI HOLLINGSWORTH D.O. (NPI 1245565944) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (34.010558) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains a secondary practice location in Trenton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kali Hollingsworth D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kali Hollingsworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centerville, OH 45459
- Reassigned Medicare billing, Ohio enrollment
- 364 clinicians in this Medicare group
Miamisburg, OH 45342
- Reassigned Medicare billing, Ohio enrollment
- 984 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Main Campus
Acute Care Hospitals · Kettering, OHKettering Health Dayton
Acute Care Hospitals · Dayton, OHKettering Health Miamisburg
Acute Care Hospitals · Miamisburg, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kali Hollingsworth's NPI number?
The NPI number for Kali Hollingsworth is 1245565944. It was assigned to this individual provider in the NPPES registry on October 14, 2009.
Where is Kali Hollingsworth located?
Kali Hollingsworth practices at 6438 Wilmington Pike Ste 100, Dayton, OH 45459. The listed phone number is (937) 558-3840.
What is Kali Hollingsworth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kali Hollingsworth enrolled in Medicare?
Yes. Kali Hollingsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kali Hollingsworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kali Hollingsworth reassigns Medicare benefits to 2 organizations: Alliance Physicians Inc (Centerville, OH) and Kettering Independent Medical Group Inc (Miamisburg, OH). Each 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 Kali Hollingsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kali Hollingsworth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Kali Hollingsworth 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.
Is Kali Hollingsworth affiliated with any hospitals?
According to CMS data, Kali Hollingsworth is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Kali Hollingsworth was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Kali Hollingsworth, D.O. · NPI 1245565944
Family Medicine physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since October 14, 2009.
## Identity
- **NPI:** 1245565944 (Entity type: Individual)
- **Enumerated:** October 14, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34.010558 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6438 WILMINGTON PIKE STE 100, Dayton, OH 45459-7021
- **Phone:** (937) 558-3840 · **Fax:** (937) 558-3844
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alliance Physicians Inc (NPI 1770831729, Centerville, OH); Kettering Independent Medical Group Inc (NPI 1629387865, Miamisburg, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 21, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1245565944) · Data from the CMS NPPES public registry.