1. Home
  2. Directory
  3. Ohio
  4. Kettering
  5. Emergency Medicine
  6. NPI Profile

KESLEY PETERSON DO
NPI 1871233585
Emergency Medicine in Kettering, OH

Active since March 30, 2022PECOS Enrolled
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8166 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kesley Peterson Do NPPES

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

KESLEY PETERSON DO (NPI 1871233585) is an individual emergency medicine provider in Kettering, Ohio, licensed in Ohio (34.017928) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1871233585
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKESLEY PETERSONCredential: DO
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · (937) 438-8910
Phone(937) 395-8166
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1871233585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 34.017928
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3535 SOUTHERN BLVD, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 11

Location 1600 W Main StTroy, OH 45373-3384 · Phone (937) 980-7010
Location 21141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 33535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 42300 N Limestone StSpringfield, OH 45503-1102 · Phone (937) 504-8305
Location 51997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228
Location 68701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 74000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 8100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 96147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410
Location 10405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211
Location 11450 Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 456-8376

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kesley Peterson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Other Providers at the Same Location NPPES 20

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

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

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 Kesley Peterson's NPI number?

The NPI number for Kesley Peterson is 1871233585. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Kesley Peterson located?

Kesley Peterson practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.

What is Kesley Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kesley Peterson enrolled in Medicare?

Yes. Kesley Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kesley Peterson was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.