Individual provider Active NPI

Santosh R. Likki, MD

  • Hospitalist Physician
  • Wilmington, OH
National Provider Identifier
1316926934
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35.078170 Issued in OH
Practice address
1184 W Locust St
Wilmington, OH 45177
Phone
(937) 382-1616
Fax
(937) 382-7877
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.078170 OH Primary
Internal Medicine Physician 207R00000X 38525 KY
Internal Medicine Physician 207R00000X 35078170 OH

Addresses

Primary practice location

1184 W Locust St
Wilmington, OH 45177

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

610 W Main St
Wilmington, OH 45177-2125
Phone (937) 283-9986

Other practice location 2

610 W Main St
Wilmington, OH 45177-2125
Phone (937) 283-9986

Other practice location 3

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-6665

Other identifiers 4

IdentifierTypeStateIssuer
2203412MedicaidOH
64041635MedicaidKY
000000331954OtherKYANTHEM BCBS
200509220MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address slikki72707@direct.thechristhospital.com Direct
Direct Messaging Address slikki513430@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20060801000031 OH Practitioner - HospitalistPractitioner - Internal Medicine 5496728370 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

600 W Main St
Troy, OH 45373-3384

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078170OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospitalist Physicians LLP Hospitalist CurrentSince Jul 25, 2021 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Ashtabula County Medical Center CurrentSince Feb 9, 2019 Accepting new patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince Dec 29, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Blanchard Valley Regional Health Center Hospitalist CurrentSince Mar 19, 2018 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Mar 19, 2018 Accepting new patients
Blanchard Valley Regional Health Center Internal Medicine Current Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Kettering Medical Center Past Accepting new patients
Beavercreek Medical Center Past Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Internal Medicine Past Accepting new patients
Holzer Clinic, LLC Past Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Kentucky Inpatient Medicine Associates, PLLC Internal Medicine Past Accepting new patients
Ohio Heart and Vascular Center, Inc Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

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

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

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

Interoperability endpoints

  • Direct secure messaging: salikki@yourcarecommunity.org

Organizations & group practices 18

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.

View all 18

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1316926934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "45177",
            "telephone_number": "937-382-1616",
            "fax_number": "937-382-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772125",
            "country_code": "US",
            "telephone_number": "937-283-9986",
            "fax_number": "937-283-9988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772125",
            "country_code": "US",
            "telephone_number": "937-283-9986",
            "fax_number": "937-283-9988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-6665",
            "fax_number": "937-395-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIKKI",
        "first_name": "SANTOSH",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.078170",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38525",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203412",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64041635",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000331954",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509220",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slikki72707@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1184 W Locust St",
            "city": "Wilmington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slikki513430@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "405 W Grand Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454057538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "405 W Grand Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454057538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.