Individual provider Active NPI

Kelly Lynn McCluskey-Erskine, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1285766261
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.093140 Issued in OH
Practice address
5701 Far Hills Ave
Dayton, OH 45429-2207
Phone
(937) 435-6222
Fax
(937) 438-8451
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.093140 OH Primary

Addresses

Primary practice location

5701 Far Hills Ave
Dayton, OH 45429-2207

Mailing address

5701 Far Hills Ave
Dayton, OH 45429-2207
Phone (937) 435-6222

Other practice location 1

5692 Far Hills Ave Ste 1A
5701 Far Hills Ave
Dayton, OH 45429
Phone (937) 435-6222

Other identifiers 3

IdentifierTypeStateIssuer
1285766261OtherOHNPI
3120714MedicaidOH
MC4298801OtherOHMEDICARE PTAN

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
I20100913000517 OH Practitioner - Obstetrics/Gynecology 3173648334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Far Hills OB GYN IncGroup PAC ID 5395773998, 7 clinicians

Practice addresses (Care Compare)

5701 Far Hills Ave
Dayton, OH 45429-2207
Phone (937) 435-6222

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
Far Hills OB GYN Inc Obstetrics & Gynecology CurrentSince Aug 13, 2015 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

5701 Far Hills Ave
Dayton, OH 45429
Phone (937) 435-6222

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

5692 Far Hills Ave
Ste 1A
Kettering, OH 45429
Phone 9374356222 ext. 122

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1285766261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5692 Far Hills Ave Ste 1A",
            "address_2": "5701 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45429",
            "country_code": "US",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUSKEY-ERSKINE",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.093140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285766261",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120714",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MC4298801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.