KELLI SUZANNE BUCKNER DO
NPI 1417269622
Family Medicine in Cleveland, OH
About Kelli Suzanne Buckner Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI SUZANNE BUCKNER DO (NPI 1417269622) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (34.010614) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Kelli Suzanne Buckner Do 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 Reassignment
Medicare enrollment records show Kelli Buckner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hudson, OH 44236
- Reassigned Medicare billing, Ohio enrollment
- 655 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Summa Health System
Acute Care Hospitals · Akron, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44128 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 4
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 Kelli Buckner's NPI number?
The NPI number for Kelli Buckner is 1417269622. It was assigned to this individual provider in the NPPES registry on July 6, 2010. The provider is also known as Kelli Suzanne Litten Do.
Where is Kelli Buckner located?
Kelli Buckner practices at 16888 Harvard Ave, Cleveland, OH 44128. The listed phone number is (330) 323-3060.
What is Kelli Buckner's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelli Buckner enrolled in Medicare?
Yes. Kelli Buckner 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 organization bills Medicare for Kelli Buckner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Buckner reassigns Medicare benefits to Summa Physicians LLC (Hudson, OH). The 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 Kelli Buckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Buckner accept?
Health plans from CareSource, MedMutual and UnitedHealthcare list Kelli Buckner 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 Kelli Buckner affiliated with any hospitals?
According to CMS data, Kelli Buckner is affiliated with Summa Health System.
When was this NPI record last updated?
The NPPES record for Kelli Buckner was last updated on September 1, 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.
# Kelli Suzanne Buckner, DO · NPI 1417269622
Family Medicine physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since July 6, 2010.
## Identity
- **NPI:** 1417269622 (Entity type: Individual)
- **Enumerated:** July 6, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34.010614 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 16888 HARVARD AVE, Cleveland, OH 44128-2208
- **Phone:** (330) 323-3060
## 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:** Summa Physicians LLC (NPI 1366872087, Hudson, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2010
## Record status
- **NPPES last updated:** September 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417269622) · Data from the CMS NPPES public registry.