Individual provider Active NPI

Kristen Caldwell, D.O.

  • Obstetrics & Gynecology Physician
  • Middletown, OH
National Provider Identifier
1114333531
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.013491 Issued in OH
Practice address
6147 State Route 122 Ste 110
Middletown, OH 45005-5201
Phone
(513) 261-3500
Fax
(513) 261-3509
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Obstetrics & Gynecology Physician 207V00000X 34.013491 OH Primary

Addresses

Primary practice location

6147 State Route 122 Ste 110
Middletown, OH 45005-5201

Mailing address

6147 State Route 122 Ste 110
Middletown, OH 45005-5201
Phone (513) 261-3500

Other identifiers 1

IdentifierTypeStateIssuer
0307646MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kcaldwell531160@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20180829002795 OH Practitioner - Obstetrics/Gynecology 3072863844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

6147 State Route 122
Middletown, OH 45005-5201

6147 W State Route 122
Suite 200
Middletown, OH 45005-5201
Phone (937) 294-4356

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
Dayton Osteopathic Hospital Current Accepting new patients
Dayton Osteopathic Hospital CurrentSince Aug 1, 2018 Accepting new patients
Dayton Osteopathic Hospital Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients

Locations

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

1989 Miamisburg Centerville Rd
Ste 204
Dayton, OH 45459
Phone (937) 384-6822

450B Washington Jackson Rd
Ste 107
Eaton, OH 45320
Phone (877) 645-9474

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

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

6147 State Route 122
Ste 110
Middletown, OH 45005
Phone (513) 260-3500

6147 State Route 122
Ste 200
Middletown, OH 45005
Phone (513) 261-3500

243 W Central Ave
Springboro, OH 45066
Phone (513) 748-4814

825 N Main St
Ste 220
Springboro, OH 45066
Phone (937) 762-5000

Organizations & group practices 5

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 2

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1114333531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 STATE ROUTE 122 STE 110",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055201",
            "telephone_number": "513-261-3500",
            "fax_number": "513-261-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 STATE ROUTE 122 STE 110",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055201",
            "telephone_number": "513-261-3500",
            "fax_number": "513-261-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.013491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307646",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcaldwell531160@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6147 State Route 122 Ste 110",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450055201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6147 State Route 122 Ste 110",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450055201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.