Active NPI
Sue A Karnitis, MD
- Pediatrics Physician
- Springboro, OH
National Provider Identifier
1275535163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35062496
- Practice address
- 825 N Main Street
Suite 210
Springboro, OH 45066-1503 - Phone
- (937) 762-5500
- Fax
- (937) 762-5099
- NPI assigned
- Aug 11, 2005
- Last updated
- Aug 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35062496 | OH | Primary |
Addresses
Primary practice location
825 N Main Street
Suite 210
Springboro, OH 45066-1503
Mailing address
825 N Main Street
Suite 210
Springboro, OH 45066-1503
Phone (937) 762-5500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KO790972 | Other | OH | MEDICARE |
| 12-01219 | Other | OH | UHC |
| 0863927 | Medicaid | OH | |
| 01930 | Other | OH | PARAMOUNT |
| 370012700 | Other | OH | RRMC |
| 000000141221 | Other | OH | ANTHEM |
| 0637763 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35062496 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Past | Accepting new patients | |
| Alliance Physicians Inc | Past | Accepting new patients |
Organizations & group practices 2
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
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1275535163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N MAIN STREET",
"address_2": "SUITE 210",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450661503",
"telephone_number": "937-762-5500",
"fax_number": "937-762-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N MAIN STREET",
"address_2": "SUITE 210",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450661503",
"telephone_number": "937-762-5500",
"fax_number": "937-762-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARNITIS",
"first_name": "SUE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35062496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KO790972",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "12-01219",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0863927",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "01930",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "370012700",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000141221",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0637763",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
- Kaiser Medical Corporation
- Bonnie S Kammer
- Myrice Noelle Kamwa
- Kara S Hampton (Springboro Vision Center)
- Dhrumi Manish Karia
- Kathryn a. S. Wilson DO LLC
- Lindsay Erin Kearns, LPC
- Keith a. Huelsman OD Inc (Springboro Eye Care)
- Alan John Kercher, LP BOCP
- Kettering Medical Center (KHN Pharmacy Springboro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.