MARY KATELIN KANOZA MD
NPI 1609194588
Family Medicine in Kettering, OH

Active since May 17, 2010PECOS EnrolledAccepts Medicare Assignment
4441 FAR HILLS AVE, KETTERING, OH 45429(937) 298-7351(937) 298-9458 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2021, May 12, 2017, Mar 21, 2016 (3 updates tracked since 2016).

About Mary Katelin Kanoza Md NPPES

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

MARY KATELIN KANOZA MD (NPI 1609194588) is an individual family medicine provider in Kettering, Ohio, licensed in Ohio (35121178) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Toledo College Of Medicine (2010).

NPPES Registry Identity

NPI1609194588
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY KATELIN KANOZACredential: MD
Location Address4441 FAR HILLS AVEKettering, OH 45429-2405
Mailing Address4441 Far Hills AveKettering, OH 45429-2405 · (937) 298-7351 · Fax (937) 298-9458
Fax(937) 298-9458
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2010
Enumeration DateMay 17, 2010
Last NPPES UpdateJanuary 20, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
NPI 1609194588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35121178
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4441 FAR HILLS AVE, Kettering, OH 45429

Other Names 1

Former Name (1)Mary Katelin Roberts Md

Other Identifiers 1

Medicaid0084532OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Katelin Kanoza Md 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.

PECOS PAC ID3577703057
PECOS Enrollment IDI20130703000624
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
239 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
76 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims79 services$5.77 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$202.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4441 FAR HILLS AVE
KETTERING, OH 45429
Family Medicine (Sports Medicine)
4441 FAR HILLS AVE
KETTERING, OH 45429
Nurse Practitioner (Family)
4441 FAR HILLS AVE
KETTERING, OH 45429
Family Medicine
4441 FAR HILLS AVE
KETTERING, OH 45429
Family Medicine
4441 FAR HILLS AVE
KETTERING, OH 45429
Family Medicine
4441 FAR HILLS AVE
KETTERING, OH 45429
Podiatrist
4441 FAR HILLS AVE
KETTERING, OH 45429
Family Medicine
4441 FAR HILLS AVE
KETTERING, OH 45429

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 Mary Kanoza's NPI number?

The NPI number for Mary Kanoza is 1609194588. It was assigned to this individual provider in the NPPES registry on May 17, 2010. The provider is also known as Mary Katelin Roberts MD.

Where is Mary Kanoza located?

Mary Kanoza practices at 4441 Far Hills Ave, Kettering, OH 45429. The listed phone number is (937) 298-7351.

What is Mary Kanoza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Kanoza enrolled in Medicare?

Yes. Mary Kanoza 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.

What insurance does Mary Kanoza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Mary Kanoza 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 Mary Kanoza affiliated with any hospitals?

According to CMS data, Mary Kanoza is affiliated with Miami Valley Hospital, 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 Mary Kanoza was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.