Individual provider Active NPI

Jessica Kallenborn

  • Sports Medicine (Family Medicine) Physician
  • West Chester, OH
National Provider Identifier
1295364669
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
34.016388 Issued in OH
Practice address
7798 Discovery Dr Ste a
West Chester, OH 45069-7747
Phone
(513) 475-8264
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 34.016388 OH Primary
Family Medicine Physician 207Q00000X 34.016388 OH

Addresses

Primary practice location

7798 Discovery Dr Ste a
West Chester, OH 45069-7747

Mailing address

3200 Burnet Ave
Cincinnati, OH 45229-3019
Phone (513) 475-8264

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
I20240913003610 OH Practitioner - Family PracticePractitioner - Sports Medicine 4486194651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
A
Mason, OH 45040-6852

7798 Discovery Dr
Suite F
West Chester, OH 45069-7747
Phone (513) 939-2263

Hospital & facility affiliations

  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003
  • Drake Center Inc Long-term care hospital, Cincinnati, OH, CCN 362004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.016388OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
West Chester Hospital LLC Family Medicine Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

7798 Discovery Dr
Ste A
West Chester, OH 45069
Phone (513) 221-2663

7798 Discovery Dr
Ste F
West Chester, OH 45069
Phone (513) 459-1600

7798 Discovery Dr
West Chester, OH 45069
Phone (513) 424-7711

Organizations & group practices 5

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 4

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1295364669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293019",
            "telephone_number": "513-475-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7798 DISCOVERY DR STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697747",
            "telephone_number": "513-475-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLENBORN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.016388",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.