Individual provider Active NPI

Katie M Crowder, MD

  • Family Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1205858040
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.133256 Issued in OH
Practice address
725 University Blvd
Beavercreek, OH 45324
Phone
(937) 245-7100
Fax
(937) 245-7999
NPI assigned
Jul 24, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31188 KS
Family Medicine Physician 207Q00000X 35.133256 OH Primary
Family Medicine Physician 207Q00000X KS 04-31188 KS

Addresses

Primary practice location

725 University Blvd
Beavercreek, OH 45324

Mailing address

4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone (937) 257-8718

Other practice location 1

4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone (937) 257-8718

Other practice location 2

755 Scott Circle
15 MDG
JBPH-H, HI 96853
Phone (808) 448-6234

Other practice location 3

2145 N Fairfield Rd Ste 100
Beavercreek, OH 45431-2783
Phone (937) 558-3900

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address kcrowder168347@direct.ketteringhealth.org

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
I20180613002238 OH Practitioner - Family Practice 1153506316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians
South Dayton Acute Care Consultants, IncGroup PAC ID 3577452465, 116 clinicians

Practice addresses (Care Compare)

2145 N Fairfield Rd
Suite 100
Beavercreek, OH 45431-2556
Phone (937) 558-3900

33 W Rahn Rd
Dayton, OH 45429-2219

3535 Pentagon Park Blvd
Beavercreek, OH 45431-1705
Phone (937) 352-2241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31188KSMDFamily Medicine Physician
KS 04-31188KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
South Dayton Acute Care Consultants, Inc Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Wright State Physicians Inc Past Accepting new patients
Beavercreek Medical Center Past Accepting new patients

Locations

2145 N Fairfield Rd
Ste 100
Beavercreek, OH 45431
Phone (937) 558-3900

33 W Rahn Rd
#101
Dayton, OH 45429
Phone 9374338990102

33 W Rahn Rd
Kettering, OH 45429
Phone 9374338990 ext. 102

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

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1205858040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-8718",
            "fax_number": "937-656-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45324",
            "telephone_number": "937-245-7100",
            "fax_number": "937-245-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Wpafb",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-8718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Scott Circle",
            "address_2": "15 MDG",
            "address_purpose": "LOCATION",
            "city": "JBPH-H",
            "state": "HI",
            "postal_code": "96853",
            "country_code": "US",
            "telephone_number": "808-448-6234",
            "fax_number": "707-423-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 N Fairfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454312783",
            "country_code": "US",
            "telephone_number": "937-558-3900",
            "fax_number": "937-558-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "31188",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.133256",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "KS 04-31188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2145 N Fairfield Rd Ste 100",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454312783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcrowder168347@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "2145 N Fairfield Rd Ste 100",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454312783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.