Individual provider Active NPI

Deana Kimes, D.O.

  • Addiction Medicine (Internal Medicine) Physician
  • Warren, OH
National Provider Identifier
1053560433
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
34.014443 Issued in OH
Practice address
1924 E Market St
Warren, OH 44483-6618
Phone
(513) 834-7063
Fax
(513) 873-1567
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 34.014443 OH Primary
Emergency Medicine Physician 207P00000X C5367 KY
Emergency Medicine Physician 207P00000X H0106240 MD
Emergency Medicine Physician 207P00000X 2026-01073 NC
Emergency Medicine Physician 207P00000X OT011562 PA

Addresses

Primary practice location

1924 E Market St
Warren, OH 44483-6618

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other names 1

  • Deana Squire-Kimes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090702000617 PA Practitioner - Emergency Medicine 6901957901 Reassigns benefits to 1 organization
I20200817003767 OH Practitioner - Addiction MedicinePractitioner - Emergency Medicine 6901957901 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C5367KYMDEmergency Medicine Physician
H0106240MDMDEmergency Medicine Physician
2026-01073NCMDEmergency Medicine Physician
OT011562PAMDEmergency Medicine Physician
34.014443OHMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 24, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 24, 2017 Accepting new patients
Brightview, LLC Addiction Medicine CurrentSince Aug 3, 2020 Accepting new patients
Brightview LLC Addiction Medicine CurrentSince Aug 3, 2020 Accepting new patients
Recoverylink Services LLC CurrentSince Sep 6, 2025 Accepting new patients

Locations

4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 510-4357

999 N Main St
Akron, OH 44310
Phone (330) 929-2694

2210 S Ridge Rd E
Ashtabula, OH 44004
Phone (216) 998-1329

1100 Hospital Dr
Batavia, OH 45103
Phone (513) 732-6001

446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

5108 Sandy Ln
Fairfield, OH 45014
Phone (513) 234-5959

421 Home St
Georgetown, OH 45121
Phone (937) 378-7510

4483 US N 42
Mason, OH 45040
Phone (513) 536-0050

3545 Lincoln Way E
Ste B
Massillon, OH 44646
Phone 3308308740 ext. 312

1405 11th St
Portsmouth, OH 45662
Phone (740) 354-7718

1924 E Market St
Warren, OH 44483
Phone (330) 392-7474

485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514

930 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-1143

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1053560433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836618",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "DEANA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "34.014443",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C5367",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0106240",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2026-01073",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT011562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "SQUIRE-KIMES",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.