NPIMap

Organization Active NPI

Kettering Medical Center

Doing business as Kettering Health Troy

  • General Acute Care Hospital
  • Troy, OH
National Provider Identifier
1023587045
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KETTERING MEDICAL CENTER
Doing business as
Kettering Health Troy
Practice address
600 W Main St
Troy, OH 45373-2928
Phone
(937) 980-7400
NPI assigned
Nov 20, 2018
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Ko
Title
Kettering Health Cfo
Phone
(937) 395-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

600 W Main St
Troy, OH 45373-2928

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3598
Phone (937) 298-3399

Other names 1

  • Kettering Health Troy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424001808 OH Part A Provider - Hospital 2769415348 Practice locations: Troy, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023587045. Details of each certification follow.

Hospital certification: CCN 360368

Legal name
KETTERING MEDICAL CENTER
Doing business as
KETTERING HEALTH TROY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 16, 2019
Last certification
Aug 16, 2019
Beds
28
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 21, 1959 in OH
Enrollment address
600 W Main St
Troy, OH 45373-3384
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Kettering Health TroyCCN 360368 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2144285Kettering Health Troy - Waived600 West Main Street, Troy, OH 45373Certificate of waiverFeb 13, 2028
36D2144286Kettering Health Troy Laboratory600 West Main Street, Troy, OH 45373AccreditationOct 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kettering Memorial Hosp12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 W Main St
Ste 240
Troy, OH 45373
Phone (814) 426-7299

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin L Sharrett Individual Corporate DirectorBoard Member Jan 31, 2024
Michael Gentry Individual Corporate OfficerKettering Health Ceo Jul 3, 2023
Corporate DirectorBoard Member Jan 31, 2024
Marcellus Robinson Individual Corporate OfficerBoard Chair Apr 30, 2024
Corporate DirectorBoard Member Apr 30, 2024
Jonathan E Velasco Individual Corporate DirectorBoard Member Jan 31, 2024
Norman Spence Individual W-2 Managing EmployeeKH Troy President Mar 31, 2024
Keisha Stubbs-Bone Individual Corporate DirectorBoard Member Jan 31, 2024
Tamara L Thomas Individual Corporate DirectorBoard Member Jan 31, 2024
Robert Weigel Individual Corporate DirectorBoard Member Jan 31, 2024
Adele Riley Individual Corporate DirectorBoard Member Jan 31, 2024
Leslie Neff Individual Corporate DirectorBoard Member Jan 31, 2024
Troy Alan Tyner Individual Corporate DirectorBoard Member Jan 31, 2024
Timothy Y Ko Individual Corporate OfficerKettering Health Cfo Nov 18, 2022
Randall J Tanguay Individual Corporate DirectorBoard Member Jan 31, 2024
Kettering Adventist Healthcare Organization, Miamisburg, OH Corporation, Non-profit Operational/Managerial Control Jul 31, 2009 100%
Other Jan 31, 2024
Cherish J Prutzman Individual Corporate DirectorBoard Member Jan 31, 2024
Robert Patterson Individual Corporate DirectorBoard Member Jan 31, 2024

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pam Rehabilitation Hospital of Dayton LLCMiamisburg, OH, CCN 363046 Hospital 5% Or Greater Direct Ownership Interest (45%) May 1, 2023
Kettering Health Main CampusKettering, OH, CCN 367249 Home health agency Operational/Managerial Control (100%)
Other		 Jan 1, 1984
Jan 31, 2024
Bridges Rehab at HomeMason, OH, CCN 368232 Home health agency 5% Or Greater Indirect Ownership Interest Aug 6, 2014
Kettering HomecareKettering, OH, CCN 367778 Home health agency 5% Or Greater Direct Ownership Interest (40%) Apr 1, 2013

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 269

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 269

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1023587045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423598",
            "telephone_number": "937-298-3399",
            "fax_number": "937-522-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732928",
            "telephone_number": "937-980-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "KETTERING HEALTH CFO",
        "authorized_official_telephone_number": "937-395-8522"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettering Health Troy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.