Active NPI
Katelyn Lippert
- Emergency Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.131068
- Practice address
- 1 Wyoming St
Che 7TH Floor
Dayton, OH 45409-2722 - Phone
- (937) 208-2485
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.131068 | OH | Primary |
Addresses
Primary practice location
1 Wyoming St
Che 7TH Floor
Dayton, OH 45409-2722
Mailing address
88 MDG/SGHJ
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433
Phone (937) 257-9655
Other practice location 1
4881 Sugar Maple Dr
Dayton, OH 45433
Phone (937) 257-9655
Other practice location 2
600 W Main St
Troy, OH 45373-3384
Phone (937) 980-7010
Other practice location 3
1 Kettering Way
Piqua, OH 45356-4109
Phone (937) 916-2625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Kentucky College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.131068 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Specialists, Inc | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists, Inc | Emergency Medicine | Current | Accepting new patients |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists Inc | Emergency Medicine | Past | Accepting new patients |
Locations
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
2400 Lakeview Dr
#150
Beavercreek, OH 45431
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
1 Wyoming St
Fl 7
Dayton, OH 45409
Phone (937) 208-2485
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
500 London Ave
Marysville, OH 43040
Phone (740) 420-8451
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791
1 Kettering Way
Piqua, OH 45356
Phone (937) 916-2615
600 W Main St
Troy, OH 45373
Phone (937) 395-6665
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Kettering, OH
- NPI 1588640791
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1184795874
-
- Emergency Medicine Physician
- Springfield, OH
- NPI 1104572841
-
- Emergency Medicine Physician
- Beavercreek, OH
- NPI 1750650776
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
-
- Emergency Medicine Physician
- Troy, OH
- NPI 1467918938
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
dba ER at Cadence
- Emergency Care Clinic/Center
- Henderson, NV
- NPI 1285490292
Hospital
-
dba ER at Green Valley Ranch
- Emergency Care Clinic/Center
- Henderson, NV
- NPI 1376198028
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1063807238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 MDG/SGHJ",
"address_2": "4881 SUGAR MAPLE DR",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-257-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "CHE 7TH FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-2485"
}
],
"practiceLocations": [
{
"address_1": "4881 Sugar Maple Dr",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "45433",
"country_code": "US",
"telephone_number": "937-257-9655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453733384",
"country_code": "US",
"telephone_number": "937-980-7010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Kettering Way",
"address_purpose": "LOCATION",
"city": "Piqua",
"state": "OH",
"postal_code": "453564109",
"country_code": "US",
"telephone_number": "937-916-2625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPPERT",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.131068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.