Individual provider Active NPI

Kevin A Carter, DO

  • Sleep Medicine (Family Medicine) Physician
  • Beavercreek, OH
National Provider Identifier
1053403329
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
34011205 Issued in OH
Practice address
2633 Commons Blvd Ste 110
Beavercreek, OH 45431-3827
Phone
(937) 705-6747
Fax
(937) 705-6713
NPI assigned
Sep 28, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.011205 OH
Sleep Medicine (Family Medicine) Physician 207QS1201X 34011205 OH Primary

Addresses

Primary practice location

2633 Commons Blvd Ste 110
Beavercreek, OH 45431-3827

Mailing address

2912 Springboro W Ste 201
Moraine, OH 45439-1674
Phone (937) 297-8999

Other practice location 1

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8805

Other identifiers 2

IdentifierTypeStateIssuer
H300830OtherOHMEDICARE
0101552MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140501001286 OH Practitioner - Family PracticePractitioner - Other (Physician) 0941372551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.59 of 100Reported as individual
Quality
62.94
Promoting interoperability
100
Improvement activities
40
Cost
75.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34011205OHMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kevin Carter Sleep Center LLC Current Accepting new patients
Alliance Physicians Inc Family Medicine Current Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Providence Medical Group, Inc. CurrentSince Jun 2, 2014 Accepting new patients
Providence Medical Group Family Medicine CurrentSince Jun 2, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Hospitalmd PTC Ga, Inc Past Accepting new patients
Hospitalmd PTC Ip, Inc Past Accepting new patients

Locations

2633 Commons Blvd
Ste 110
Beavercreek, OH 45431
Phone (937) 320-5195

38 Woodcroft Trl
Dayton, OH 45430
Phone (937) 427-3333

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996

Interoperability endpoints

  • Direct secure messaging: kcarter531275@direct.ketteringhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1053403329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO W STE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-297-8999",
            "fax_number": "937-297-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 COMMONS BLVD STE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313827",
            "telephone_number": "937-705-6747",
            "fax_number": "937-705-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8805",
            "fax_number": "937-395-8821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011205",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "OH",
            "license": "34011205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H300830",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.