Individual provider Active NPI

Ana L Keppke, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1114177342
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125052104 Issued in IL
Practice address
836 W Wellington Ave
Chicago, IL 60657-5147
Phone
(773) 296-7820
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125052104 IL Primary

Addresses

Primary practice location

836 W Wellington Ave
Chicago, IL 60657-5147

Mailing address

4118 N Kedvale Ave Apt E
Chicago, IL 60641-2279
Phone (773) 685-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20120706000119 OH Practitioner - Diagnostic Radiology 9436314960 Reassigns benefits to 3 organizations
I20220920001917 IN Practitioner - Diagnostic Radiology 9436314960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

113 W National Rd
Vandalia, OH 45377-1934
Phone (937) 898-9729

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2060

1977 Miamisburg Centerville Rd
Dayton, OH 45459-3811
Phone (937) 439-6000

2300 N Limestone St
Springfield, OH 45503-1102
Phone (937) 504-8300

3371 Kemp Rd
Beavercreek, OH 45431-2514
Phone (937) 558-3000

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8627

3700 Southern Blvd
Suite 106
Dayton, OH 45429-1226
Phone (937) 395-8133

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 296-7227

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5136

450 B Washington Jackson Rd
Eaton, OH 45320-8699
Phone (937) 456-8376

580 Lincoln Park Blvd
Suite 200
Dayton, OH 45429-3493
Phone (937) 299-0099

600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7000

600 W Main St
Suite 240
Troy, OH 45373-3384
Phone (814) 426-7299

6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3400

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

6661 Clyo Rd
Centerville, OH 45459-2702
Phone (937) 425-4000

7740 Washington Village Dr
Suite 140
Dayton, OH 45459-3994
Phone (937) 439-7420

8701 Old Troy Pike
Dayton, OH 45424-1066
Phone (937) 558-3330

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125052104ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Hospital Inc CurrentSince Oct 31, 2025 Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations (25 of 37)

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

L3402
Columbus, OH 43260
Phone (814) 444-1919

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 395-8666

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306

1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062

1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644

100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700

909 E 2nd St
Ste C
Franklin, OH 45005

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309

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

3700 Southern Blvd
Ste 106
Kettering, OH 45429
Phone (937) 281-3840

580 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (513) 299-0099

540 Lincoln Park Blvd
Ste 100
Kettering, OH 45429
Phone (937) 299-0900

3700 Southern Blvd
Ste 201
Kettering, OH 45429
Phone (855) 500-2873

1470 N Broadway St
Lebanon, OH 45036
Phone (937) 228-0990

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1114177342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 N KEDVALE AVE APT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412279",
            "telephone_number": "773-685-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPKE",
        "first_name": "ANA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125052104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.