MARY KATELIN KANOZA MD
NPI 1609194588
Family Medicine in Kettering, OH
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 Kettering Health Main Campus, and is a graduate of University Of Toledo College Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Kanoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kettering, OH 45429
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Alliance Physicians Inc
- 364 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 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.
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 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.
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.
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.
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.
Which organization bills Medicare for Mary Kanoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kanoza reassigns Medicare benefits to Alliance Physician Inc (Kettering, 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 Mary Kanoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Kanoza 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 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 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 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.
# Mary Katelin Kanoza, MD · NPI 1609194588
Family Medicine physician in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since May 17, 2010.
## Identity
- **NPI:** 1609194588 (Entity type: Individual)
- **Enumerated:** May 17, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35121178 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4441 FAR HILLS AVE, Kettering, OH 45429-2405
- **Phone:** (937) 298-7351 · **Fax:** (937) 298-9458
## 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:** Alliance Physician Inc (NPI 1821160243, Kettering, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** January 20, 2021
- **Other identifiers:** Medicaid 0084532 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1609194588) · Data from the CMS NPPES public registry.