Individual provider Active NPI

Kenneth Douglas Pugar, D.O.

  • Neurology Physician
  • Dayton, OH
National Provider Identifier
1174961874
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34.012511 Issued in OH
Practice address
405 W Grand Ave
Dayton, OH 45405-4720
Phone
(937) 723-3564
NPI assigned
Jun 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 34.012511 OH Primary

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-4720

Mailing address

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186

Other identifiers 1

IdentifierTypeStateIssuer
0221548MedicaidOH

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
I20170526001569 OH Practitioner - Neurology 9234368333 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Osteopathic HospitalGroup PAC ID 7618878877, 34 clinicians
Dayton Center for Neurological Disorders IncGroup PAC ID 4082501853, 26 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians
Wilmington Physicians Group LLCGroup PAC ID 4688853419, 23 clinicians

Practice addresses (Care Compare)

1275 N High St
Hillsboro, OH 45133-8273
Phone (937) 393-5503

165 Edwin C Moses Blvd
Cassano Comm HLTH CT
Dayton, OH 45407
Phone (937) 396-8150

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

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

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

610 W Main St
Wilmington, OH 45177-2125
Phone (937) 283-2588

630 W Main St
Suite 207
Wilmington, OH 45177-2166
Phone (937) 283-2570

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
87.05 of 100Reported as group
Quality
81.65
Promoting interoperability
100
Improvement activities
40
Cost
75.2

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jun 1, 2019 Accepting new patients
Dayton Center for Neurological Disorders Inc Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Highland District Hospital Professional Services Corporation CurrentSince Jun 24, 2021 Accepting new patients
Dayton Osteopathic Hospital Single Specialty CurrentSince Jun 1, 2019 Accepting new patients
Wilmington Physicians Group LLC Single Specialty CurrentSince May 1, 2019 Accepting new patients
Kettering Independent Medical Group Inc Single Specialty CurrentSince Dec 29, 2022 Accepting new patients
Highland District Hospital Professional Services Corporation Single Specialty CurrentSince Jun 24, 2021 Accepting new patients

Locations

2510 Commons Blvd
Ste 276
Beavercreek, OH 45431

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

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

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

450 Washington Jackson Rd
Ste 111
Eaton, OH 45320

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

3533 Southern Blvd
Ste 5200
Kettering, OH 45429
Phone (937) 395-8002

3533 Southern Blvd
Ste 5350
Kettering, OH 45429
Phone 9376439299 ext. 93764

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

3700 Southern Blvd
Ste 5200
Kettering, OH 45429

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

1975 Miamisburg Centerville Rd
Washington Township, OH 45459

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kepugar@yourcarecommunity.org
  • Direct secure messaging: kenneth.pugar.3@6237.direct.athenahealth.com
  • Direct secure messaging: kennethpugar@hfh.allscriptsdirect.net
  • Direct secure messaging: kenneth.douglas.pugar.1@1367.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

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.

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1174961874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "934-396-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054720",
            "telephone_number": "937-723-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGAR",
        "first_name": "KENNETH",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34.012511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.