Active NPI
Joseph Kluesner, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Wright-Patterson Afb, OH
National Provider Identifier
1225334725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 01072309A
- Practice address
- 88 MDG/SGHJ
4881 Sugar Maple Dr.
Wright-Patterson Afb, OH 45433 - Phone
- (937) 257-6529
- NPI assigned
- Jan 31, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01072309A | IN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01072309A | IN | Primary |
Addresses
Primary practice location
88 MDG/SGHJ
4881 Sugar Maple Dr.
Wright-Patterson Afb, OH 45433
Mailing address
88 MDG/SGHJ
4881 Sugar Maple Dr.
Wright-Patterson Afb, OH 45433
Phone (937) 257-6529
Other practice location 1
101 Bodin Circle
David Grant Medical Center
Travis AFB, CA 94533
Phone (707) 423-5053
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140103001418 | OH | Order and Referring Only - Endocrinology | 5193953701 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1225334725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 MDG/SGHJ",
"address_2": "4881 SUGAR MAPLE DR.",
"city": "WRIGHT-PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-257-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 MDG/SGHJ",
"address_2": "4881 SUGAR MAPLE DR.",
"city": "WRIGHT-PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-257-6529"
}
],
"practiceLocations": [
{
"address_1": "101 Bodin Circle",
"address_2": "David Grant Medical Center",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "94533",
"country_code": "US",
"telephone_number": "707-423-5053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLUESNER",
"first_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-31",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01072309A",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "01072309A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wright-Patterson Afb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.