Active NPI
Harold Todd Kepler, DO
- Family Medicine Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-004320-K
- Practice address
- 3551 Belmont Ave Ste 19B
Youngstown, OH 44505-1439 - Phone
- (330) 222-4030
- NPI assigned
- May 27, 2006
- Last updated
- Sep 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-004320-K | OH | Primary |
Addresses
Primary practice location
3551 Belmont Ave Ste 19B
Youngstown, OH 44505-1439
Mailing address
PO Box 746071
Atlanta, GA 30374-6071
Phone (312) 733-9730
Other practice location 1
3525 Blossom Heath Rd
Dayton, OH 45419-1106
Phone (937) 239-5888
Other practice location 2
3096 Cleveland Ave
Columbus, OH 43224-3682
Phone (614) 493-0846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0743502 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-004320-K | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Family Care Inc | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Equitas Health,Inc | Past | Accepting new patients |
Locations
1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854
8638 Old Troy Pike
Ste A
Huber Heights, OH 45424
Phone (937) 237-1574
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1659503886
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1518227453
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1053368910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746071",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746071",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 BELMONT AVE STE 19B",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051439",
"telephone_number": "330-222-4030"
}
],
"practiceLocations": [
{
"address_1": "3525 Blossom Heath Rd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454191106",
"country_code": "US",
"telephone_number": "937-239-5888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3096 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432243682",
"country_code": "US",
"telephone_number": "614-493-0846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEPLER",
"first_name": "HAROLD",
"middle_name": "TODD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2024-09-24",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-004320-K",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0743502",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.