THERESA FOREMAN
NPI 1932528882
Emergency Medicine in Kettering, OH
About Theresa Foreman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA FOREMAN (NPI 1932528882) is an individual emergency medicine provider in Kettering, Ohio, licensed in Ohio (35.130755) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains 10 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 10
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Foreman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Foreman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kettering, OH 45429
- Reassigned Medicare billing, Ohio enrollment
- 151 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Dayton
Acute Care Hospitals · Dayton, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician 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.
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.
KETTERING, OH 45429
KETTERING, OH 45429
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 Theresa Foreman's NPI number?
The NPI number for Theresa Foreman is 1932528882. It was assigned to this individual provider in the NPPES registry on April 8, 2014.
Where is Theresa Foreman located?
Theresa Foreman practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.
What is Theresa Foreman's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Theresa Foreman enrolled in Medicare?
Yes. Theresa Foreman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Theresa Foreman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Foreman reassigns Medicare benefits to 2 organizations: Emergency Medicine Specialists Inc (Kettering, OH) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Theresa Foreman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Foreman accept?
Health plans from CareSource list Theresa Foreman 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.
Is Theresa Foreman affiliated with any hospitals?
According to CMS data, Theresa Foreman is affiliated with Kettering Health Dayton and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Theresa Foreman was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.