Active NPI
Katie M Crowder, MD
- Family Medicine Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.133256
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31188 | KS | MD | Family Medicine Physician |
| KS 04-31188 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
| South Dayton Acute Care Consultants, Inc | Family Medicine | Current | 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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Internal Medicine Physician
- Dayton, OH
- NPI 1669442950
Family Medicine
-
dba Soin Medical Center
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- Ambulatory Surgical Clinic/Center
- Dayton, OH
- NPI 1649447582
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Soin Medical Center
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.