Kristin Petit, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.153589 Issued in OH

Practice address

6770 Cincinnati Dayton Rd
Liberty Township, OH 45044-9318

Phone

(513) 276-4981

NPI assigned

Mar 31, 2022

Last updated

Jul 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Wright State University Boonshoft School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petit Dermatology LLCGroup PAC ID 7618401308, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.petit.1@31930.direct.athenahealth.com
• Direct secure messaging: kristin.petit.1@415.direct.athenahealth.com

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.

• Petit Dermatology LLC

  • Dermatology Physician
  • Liberty Township, OH
  • NPI 1447096540
  Care Compare group NPD

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1114667581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 CINCINNATI DAYTON RD STE 200",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 CINCINNATI DAYTON RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449318",
            "telephone_number": "513-276-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.153589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prutha Patel, PHARMD
• Blake Peters, M,A., CCC-SLP
• Melissa Peterson
• Petit Dermatology LLC
• Danielle Petit, M.D.
• Misty Ann Petredis, LPN
• Jennifer Louise Pettit, M. ED., LPCC
• Amy Pham
• Heather Elaine Phillips
• Podiatry of Hamilton Inc (Center for Foot Care)

• Dermatology Physician in Liberty Township, OH
• Providers in Liberty Township, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.

Verify at the official NPI Registry.