1. Home
  2. Directory
  3. Ohio
  4. Miamisburg
  5. Family Medicine
  6. NPI Profile

KETTERING HEALTH MEDICAL GROUP PRIMARY CARE
NPI 1811121619
Family Medicine in Miamisburg, OH

Active since May 07, 2009CLIA 36D0348462 · Microscopy
415 BYERS RD, SUITE 300, MIAMISBURG, OH 45342(937) 866-2494(937) 866-8494 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 10, 2023, Oct 4, 2019 (2 updates tracked since 2019).

About Kettering Health Medical Group Primary Care NPPES

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

KETTERING HEALTH MEDICAL GROUP PRIMARY CARE (NPI 1811121619) is a healthcare organization registered as a family medicine in Miamisburg, Ohio and active in the NPI registry since May 2009. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Timothy Y Ko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811121619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLIANCE PHYSICIANS INC
Location Address415 BYERS RD, SUITE 300Miamisburg, OH 45342-3696
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 866-2494
Fax(937) 866-8494
Organization SubpartNo
Authorized OfficialTimothy Y KoCfo · (937) 558-3223
Enumeration DateMay 7, 2009
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1811121619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
415 BYERS RD, Miamisburg, OH 45342
Open in Google Maps ↗

Other Names 1

Doing Business AsKettering Health Medical Group Primary Care

Other Identifiers 1

Medicaid3011118OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0348462

Kettering Health Medical Group Primary Care · Miamisburg, OH
Active · expires Aug 31, 2028
CLIA Number36D0348462
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDavid M. Page
Laboratory Phone(937) 866-2494
Laboratory LocationKettering Health Medical Group Primary Care415 Byers Rd, Ste 300 Attn Theresa Gilliam, Miamisburg, OH 45342
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

SANDRA L KIMBALL CNP
Nurse Practitioner
415 BYERS RD, SUITE 300
MIAMISBURG, OH 45342
Montgomery County (937) 866-2494
JUDITH KAY STUTES PA-C PHYSICIAN ASST
Physician Assistant
415 BYERS RD, SUITE 300
MIAMISBURG, OH 45342
Montgomery County (937) 866-2494
RAJEEV MEHTA MD INC
Specialist
415 BYERS RD, SUITE 100
MIAMISBURG, OH 45342
Montgomery County (937) 866-3336
DAVID S PAGE MD
Family Medicine
415 BYERS RD, STE 300
MIAMISBURG, OH 45342
Montgomery County (937) 866-2494
ANIL K AGARWAL MD
Family Medicine
415 BYERS RD, STE 300
MIAMISBURG, OH 45342
Montgomery County (937) 866-2494
MARTHA ANNE JOHNSTON MD
Family Medicine
415 BYERS RD, STE 300
MIAMISBURG, OH 45342
Montgomery County (937) 866-2494
ALLIANCE PHYSICIAN INC
Internal Medicine (Gastroenterology)
415 BYERS RD, SUITE 100
MIAMISBURG, OH 45342
Montgomery County (937) 866-3336
MIAMISBURG FAMILY PRACTICE INC
Family Medicine
415 BYERS RD, SUITE 300
MIAMISBURG, OH 45342
Montgomery County (937) 866-2494

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 Alliance Physicians Inc's NPI number?

The NPI number for Alliance Physicians Inc is 1811121619. It was assigned to this organization in the NPPES registry on May 7, 2009. The provider is doing business as Kettering Health Medical Group Primary Care.

Where is Alliance Physicians Inc located?

Alliance Physicians Inc is located at 415 Byers Rd Suite 300, Miamisburg, OH 45342. The listed phone number is (937) 866-2494.

What is Alliance Physicians Inc's specialty?

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

Does Alliance Physicians Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0348462) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alliance Physicians Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Alliance Physicians 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 Alliance Physicians Inc was last updated on January 10, 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.