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: August 02, 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
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

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

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 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 of Waiver 36D2115410

Kettering Health Medical Group Pediatrics · Springboro, OH
Active · expires Jul 6, 2028
CLIA Number36D2115410
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorJoia Henson
Laboratory Phone(937) 762-5000
Laboratory LocationKettering Health Medical Group Pediatrics825 N Main St, Ste 210, Springboro, OH 45066
CLIA data matches this NPI record on: Address 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, 2026
CLIA Number36D1033671
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
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, 2026
CLIA Number36D2118591
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
825 N. MAIN ST., SUITE 140
SPRINGBORO, OH 45066
Family Medicine
825 N. MAIN ST., SUITE 140
SPRINGBORO, OH 45066
Family Medicine
825 N. MAIN ST., SUITE 140
SPRINGBORO, OH 45066

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.

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.