Active NPI
Kindra C Engle, DO
- Emergency Medicine Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34008127
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 436-4658
- NPI assigned
- Dec 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 34008127 | OH | |
| Emergency Medicine Physician | 207P00000X | 34008127 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Phone (937) 438-8910
Other practice location 1
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500
Other practice location 2
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791
Other practice location 3
8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3338
Other practice location 4
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500
Other practice location 5
100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700
Other practice location 6
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3211
Other practice location 7
450 Washington Jackson Rd
Eaton, OH 45320-8699
Phone (937) 456-8376
Other practice location 8
6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3419
Other practice location 9
1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 401-6228
Other practice location 10
600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2458479 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 Broad Ave
Gulfport, MS 39501-2414
Phone (228) 822-6811
1110 Broad Ave
Suite 500
Gulfport, MS 39501-8902
Phone (228) 575-2588
1110 Broad Ave
Suite 700
Gulfport, MS 39501-8908
Phone (228) 864-0314
1202 Broad Ave
Gulfport, MS 39501-2426
Phone (228) 822-9360
1203 Broad Ave
Gulfport, MS 39501-2489
Phone (228) 868-5555
1206 31St Ave
Gulfport, MS 39501-1804
Phone (228) 864-0008
1312 44TH Ave
Gulfport, MS 39501-2552
Phone (228) 867-5012
1340 Broad Ave
Gulfport, MS 39501-2404
1340 Broad Ave
Gulfport, MS 39501-2445
1340 Broad Ave
Gulfport, MS 39501-2460
1340 Broad Ave
Gulfport, MS 39501-2464
1340 Broad Ave
Gulfport, MS 39501-2465
1340 Broad Ave
Suite 410
Gulfport, MS 39501-2459
Phone (228) 867-5202
1391 Broad Ave
Suite a
Gulfport, MS 39501-2419
Phone (228) 863-8868
1397 Broad Ave
Gulfport, MS 39501-2419
Phone (228) 575-1945
1404 44TH Ave
Gulfport, MS 39501-2554
Phone (228) 575-2870
1408 44TH Ave
Gulfport, MS 39501-2554
Phone (228) 575-1777
1801 23Rd Ave
Gulfport, MS 39501-2964
2309 15TH St
Gulfport, MS 39501-2027
4215 15TH St
Gulfport, MS 39501-2523
Phone (228) 863-5211
4300 B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 822-6811
4333 15TH St
Suite a
Gulfport, MS 39501-2525
Phone (228) 863-4000
4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152
4500 13TH St
Gulfport, MS 39501-2569
4500 W Railroad St
Gulfport, MS 39501-2479
Phone (228) 863-8836
Hospital & facility affiliations
- Memorial Hospital at Gulfport
- Miami Valley Hospital
- Upper Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008127 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| PHS Emergency Billing LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Greene Emergency Medical Services | Past | Accepting new patients | |
| Professional Emergency Specialists of Southern Ohio | Emergency Medicine | Past | Accepting new patients |
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
Locations
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
2400 Lakeview Dr
#150
Beavercreek, OH 45431
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3130 N County Road 25A
Ste 114
Troy, OH 45373
Phone (937) 440-7665
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 9
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.
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1578387486
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
-
- Emergency Medicine Physician
- Miamisburg, OH
- NPI 1366428575
-
- Emergency Medical Services (Emergency Medicine) Physician
- Xenia, OH
- NPI 1104814276
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1639157175
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
Hospital & facility affiliations 62
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1215914643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 NEWMARK DR STE 220",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453425400",
"telephone_number": "937-438-8910",
"fax_number": "937-436-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-436-4658"
}
],
"practiceLocations": [
{
"address_1": "1141 N Monroe Dr",
"address_purpose": "LOCATION",
"city": "Xenia",
"state": "OH",
"postal_code": "453851619",
"country_code": "US",
"telephone_number": "937-352-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453427615",
"country_code": "US",
"telephone_number": "937-384-8791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8701 Old Troy Pike",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241066",
"country_code": "US",
"telephone_number": "937-558-3338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Pentagon Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311705",
"country_code": "US",
"telephone_number": "937-702-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Kettering Way",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "OH",
"postal_code": "450051155",
"country_code": "US",
"telephone_number": "937-458-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454057538",
"country_code": "US",
"telephone_number": "937-723-3211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Washington Jackson Rd",
"address_purpose": "LOCATION",
"city": "Eaton",
"state": "OH",
"postal_code": "453208699",
"country_code": "US",
"telephone_number": "937-456-8376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6147 State Route 122",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450055201",
"country_code": "US",
"telephone_number": "513-261-3419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1997 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454593811",
"country_code": "US",
"telephone_number": "937-401-6228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453732928",
"country_code": "US",
"telephone_number": "937-980-7010",
"fax_number": "937-980-7019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGLE",
"first_name": "KINDRA",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "OH",
"license": "34008127",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34008127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2458479",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.