Individual provider Active NPI

Rabindra Kitchener, M.D.

  • Neurology Physician
  • Troy, OH
National Provider Identifier
1114922333
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35-04-3371-K Issued in OH
Practice address
3006 N Dixie Hwy
Ste 106
Troy, OH 45373-1335
Phone
(937) 339-8513
Fax
(937) 339-8603
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35-04-3371-K OH Primary

Addresses

Primary practice location

3006 N Dixie Hwy
Ste 106
Troy, OH 45373-1335

Mailing address

3006 N Dixie Hwy
Ste 106
Troy, OH 45373-1335
Phone (937) 339-8513

Other identifiers 1

IdentifierTypeStateIssuer
0426631MedicaidOH

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
I20090624000468 OH Practitioner - Neurology 6608843537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

3130 N County Rd
25A Suite 114
Troy, OH 45373-1337
Phone (937) 440-7665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Nov 1, 2021 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2021 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 340
Englewood, OH 45415
Phone (937) 236-4780

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

915 Michigan St
Ste 202
Sidney, OH 45365
Phone (937) 440-7665

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N Dixie Hwy
Ste 201
Troy, OH 45373
Phone (937) 339-3797

3130 N County Road 25A
Ste 114
Troy, OH 45373
Phone (937) 440-7665

3130 N County Road 25A
Ste 112
Troy, OH 45373
Phone (937) 339-8513

Organizations & group practices 4

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1114922333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N DIXIE HWY",
            "address_2": "STE 106",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731335",
            "telephone_number": "937-339-8513",
            "fax_number": "937-339-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N DIXIE HWY",
            "address_2": "STE 106",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731335",
            "telephone_number": "937-339-8513",
            "fax_number": "937-339-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENER",
        "first_name": "RABINDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35-04-3371-K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.