KETTERING INDEPENDENT MEDICAL GROUP INC
NPI 1629387865
Orthopaedic Surgery in Miamisburg, OH
About Kettering Independent Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETTERING INDEPENDENT MEDICAL GROUP INC (NPI 1629387865), doing business as Kettering Specialty Care, Inc., is a healthcare organization registered as an orthopaedic surgery in Miamisburg, Ohio and active in the NPI registry since October 2010. The organization lists Timothy Y Ko, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kettering Independent Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
983Medicare enrollment records show 983 clinicians reassign Medicare billing to Kettering Independent Medical Group Inc, which bills Medicare for the services they deliver. Of these, 440 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 983Centerville, OH 45459
Centerville, OH 45459
Miamisburg, OH 45342
Miamisburg, OH 45342
Miamisburg, OH 45342
Miamisburg, OH 45342
Miamisburg, OH 45342
Miamisburg, OH 45342
Miamisburg, OH 45342
Centerville, OH 45459
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 Kettering Independent Medical Group Inc's NPI number?
The NPI number for Kettering Independent Medical Group Inc is 1629387865. It was assigned to this organization in the NPPES registry on October 6, 2010. The provider was formerly known as Kettering Specialty Care, Inc..
Where is Kettering Independent Medical Group Inc located?
Kettering Independent Medical Group Inc is located at 1 Prestige Pl Suite 910, Miamisburg, OH 45342. The listed phone number is (937) 762-1629.
What is Kettering Independent Medical Group Inc's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Kettering Independent Medical Group Inc enrolled in Medicare?
Yes. Kettering Independent Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kettering Independent Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 983 clinicians in 45 Medicare specialties reassign their Medicare billing to Kettering Independent Medical Group 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 (240), Neurology (166) and Hospitalist (90). Of these, 440 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kettering Independent Medical Group Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Kettering Independent Medical Group 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 Kettering Independent Medical Group Inc was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kettering Independent Medical Group Inc · NPI 1629387865
Orthopaedic Surgery organization in Miamisburg, Ohio. Organization record, active in the CMS NPPES registry since October 6, 2010.
## Identity
- **NPI:** 1629387865 (Entity type: Organization)
- **Enumerated:** October 6, 2010
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Ko, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1 PRESTIGE PL, SUITE 910, Miamisburg, OH 45342-3794
- **Phone:** (937) 762-1629
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 983 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (240), Neurology (166), Hospitalist (90); 440 practice within 10 miles; [full list](https://npiprofile.com/npi/1629387865/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2023
- **Other identifiers:** Medicaid 0207472 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1629387865) · Data from the CMS NPPES public registry.