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KETTERING HEALTH MEDICAL GROUP PRIMARY CARE
NPI 1871930917
Family Medicine in Springboro, OH

Active since May 30, 2013CLIA Certified · 5 labs
825 N. MAIN ST., SUITE 140, SPRINGBORO, OH 45066(937) 762-5000(937) 762-5099 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2023, Oct 4, 2019, Aug 23, 2016 (3 updates tracked since 2016).

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 1871930917) is a healthcare organization registered as a family medicine in Springboro, Ohio and active in the NPI registry since May 2013. The organization holds 5 active CLIA laboratory certificates and lists Timothy Y Ko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1871930917
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLIANCE PHYSICIANS INC
Location Address825 N. MAIN ST., SUITE 140Springboro, OH 45066
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 762-5000
Fax(937) 762-5099
Organization SubpartNo
Authorized OfficialTimothy Y KoCfo · (937) 558-3223
Enumeration DateMay 30, 2013
Last NPPES UpdateJanuary 10, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1871930917 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.
825 N. MAIN ST., Springboro, OH 45066
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Other Names 1

Doing Business AsKettering Health Medical Group Primary Care

Other Identifiers 1

Medicaid0084835OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

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 Health Medical Group Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

363

Medicare enrollment records show 363 clinicians reassign Medicare billing to Kettering Health Medical Group Primary Care, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 111 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Family Practice169
Nurse Practitioner129
Internal Medicine35
Hospitalist4
Neurology4
Obstetrics/Gynecology4
Pediatric Medicine3
Psychiatry3
12 other specialties12

Nearest to this location (20)

See all 363
Chantal Berning, MD
Family Practice
NPI 1982346672
825 N MAIN ST STE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts MedicareSame address
F Blair, MD
Family Practice
NPI 1649236662
825 N. MAIN ST. SUITE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOSSame address
Kassandra Bond, D.O.
Family Practice
NPI 1598040883
825 N MAIN ST. SUITE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts MedicareSame address
Michael Buch, D.O.
Family Practice
NPI 1154625564
825 N. MAIN ST. SUITE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts MedicareSame address
Thomas Dunn, D.O
Family Practice
NPI 1841570850
825 N. MAIN ST. SUITE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts MedicareSame address
Nicholas Hirth, M.D.
Family Practice
NPI 1194112706
825 N MAIN ST STE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts MedicareSame address
Joseph King
Family Practice
NPI 1770046872
825 N MAIN ST STE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts MedicareSame address
Pamela Kraft, NP-C
Nurse Practitioner
NPI 1134392798
825 N MAIN ST STE 120
Springboro, OH 45066
(937) 762-5030
✔ PECOS✔ Accepts MedicareSame address
Jennifer Martin, MD
Family Practice
NPI 1124448543
825 N MAIN ST STE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts MedicareSame address
Deanna Morgan, FNP
Nurse Practitioner
NPI 1982480042
825 N MAIN ST STE 120
Springboro, OH 45066
(937) 762-5030
✔ PECOS✔ Accepts MedicareSame address
Amber Orellana, FNP
Nurse Practitioner
NPI 1851724488
825 N MAIN ST STE 120
Springboro, OH 45066
(937) 762-5030
✔ PECOS✔ Accepts MedicareSame address
Laney Thorn, NURSE PRACTITIONER
Nurse Practitioner
NPI 1588144596
825 N MAIN ST STE 140
Springboro, OH 45066
(937) 762-5030
✔ PECOS✔ Accepts MedicareSame address
Jennifer Adams, CNP
Nurse Practitioner
NPI 1376971721
825 N MAIN ST STE 120
Springboro, OH 45066
(937) 762-5030
✔ PECOS✔ Accepts Medicare0.1 mi
Lindsy Fanella
Family Practice
NPI 1346944816
825 N MAIN ST STE 140
Springboro, OH 45066
(937) 762-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Joia Henson, CPNP
Pediatric Medicine
NPI 1073756581
825 N MAIN ST STE 210
Springboro, OH 45066
(937) 762-5500
✔ PECOS0.1 mi
Karen Starrett, M.D.
Pediatric Medicine
NPI 1205912425
825 N MAIN ST STE 210
Springboro, OH 45066
(937) 762-5500
✔ PECOS0.1 mi
Manisha Patel, MD
Family Practice
NPI 1912585597
243 W CENTRAL AVE
Springboro, OH 45066
(937) 531-0124
✔ PECOS✔ Accepts Medicare0.8 mi
Dena Mason-Zied, DO
Family Practice
NPI 1982661864
10 REMICK BLVD
Springboro, OH 45066
(937) 531-0124
✔ PECOS✔ Accepts Medicare2.2 mi
Christine Stahl, CNP
Nurse Practitioner
NPI 1649700196
10 REMICK BLVD
Springboro, OH 45066
(937) 531-0124
✔ PECOS✔ Accepts Medicare2.2 mi
Mercy Chong, M.D.
Pediatric Medicine
NPI 1942562004
3333 W TECH RD STE 220
Miamisburg, OH 45342
(937) 885-4475
✔ PECOS2.9 mi
See all 363 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

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 of Waiver 36D2115410

Kettering Health Medical Group Primary Care · Springboro, OH
Active · expires Jul 6, 2028
CLIA Number36D2115410
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorMichael Buch
Laboratory Phone(937) 762-5000
Laboratory LocationKettering Health Medical Group Primary Care825 N Main St, Ste 210, Springboro, OH 45066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2063161

Kettering Health Medical Group Primary Care · Springboro, OH
Active · expires Jul 28, 2027
CLIA Number36D2063161
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorMichael Buch
Laboratory Phone(937) 762-5000
Laboratory LocationKettering Health Medical Group Primary Care825 N Main Street, Suite 140, Springboro, OH 45066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1033671

Kettering Health Medical Group Ob-Gyn · Springboro, OH
Active · expires Nov 14, 2028
CLIA Number36D1033671
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2026
Certificate Expiration DateNovember 14, 2028
Laboratory DirectorWilliam M. Mccullough Jr
Laboratory Phone(937) 762-5000
Laboratory LocationKettering Health Medical Group Ob-Gyn825 N Main St, Suite 220, Springboro, OH 45066
CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 36D2118591

Kettering Health Medical Group Cardiovascular · Springboro, OH
Active · expires Sep 11, 2028
CLIA Number36D2118591
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2026
Certificate Expiration DateSeptember 11, 2028
Laboratory DirectorTodd Christie
Laboratory Phone(937) 424-0012
Laboratory LocationKettering Health Medical Group Cardiovascular825 N Main Street, Suite 230, Springboro, OH 45066
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2142820

Kettering Health Medical Group Primary Care · Springboro, OH
Active · expires Jan 18, 2028
CLIA Number36D2142820
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDena Mason-Zied
Laboratory Phone(937) 531-0124
Laboratory LocationKettering Health Medical Group Primary Care243 West Central Ave, Springboro, OH 45066
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1871930917. It was assigned to this organization in the NPPES registry on May 30, 2013. The provider is doing business as Kettering Health Medical Group Primary Care.

Where is Alliance Physicians Inc located?

Alliance Physicians Inc is located at 825 N. Main St. Suite 140, Springboro, OH 45066. The listed phone number is (937) 762-5000.

What is Alliance Physicians Inc's specialty?

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

Is Alliance Physicians Inc enrolled in Medicare?

Yes. Alliance Physicians Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alliance Physicians Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 363 clinicians in 20 Medicare specialties reassign their Medicare billing to Alliance Physicians 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 Family Practice (169), Nurse Practitioner (129) and Internal Medicine (35). Of these, 12 practice at this address and 111 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alliance Physicians Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 Molina Healthcare 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.