Individual provider Active NPI

Kelly Dimitris, MD

  • Emergency Medicine Physician
  • Akron, OH
National Provider Identifier
1376599597
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35082869 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 375-3369
Fax
(330) 375-3769
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35082869 OH Primary

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

PO Box 1649
Akron, OH 44309-1649
Phone (330) 864-8900

Other identifiers 6

IdentifierTypeStateIssuer
2456908MedicaidOH
341779226003OtherOHMED MUTUAL OH 2 OF 3
341779226006OtherOHMED MUTUAL OF OH 3 OF 3
00000031642OtherOHANTHEM
61641OtherOHUNITED HEALTCARE
341779226002OtherOHMED MUTUAL OH 1 OF 3

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
I20031212000007 OH Practitioner - Emergency Medicine 7719883412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082869OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Summa Emergency Associates Emergency Medicine Past Accepting new patients

Locations

400 Austin Ave NW
Massillon, OH 44646
Phone (330) 837-7200

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376599597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091649",
            "telephone_number": "330-864-8900",
            "fax_number": "330-869-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-3369",
            "fax_number": "330-375-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRIS",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35082869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456908",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTUAL OH 2 OF 3",
            "identifier": "341779226003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTUAL OF OH 3 OF 3",
            "identifier": "341779226006",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00000031642",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTCARE",
            "identifier": "61641",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTUAL OH 1 OF 3",
            "identifier": "341779226002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.