Active NPI
David De la Pena, D.O.
- Internal Medicine Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34.013638
- Practice address
- 1745 E Stroop Rd
Kettering, OH 45429-5039 - Phone
- (937) 281-6340
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34.013638 | OH | Primary |
Addresses
Primary practice location
1745 E Stroop Rd
Kettering, OH 45429-5039
Mailing address
1745 E Stroop Rd
Kettering, OH 45429-5039
Phone (937) 281-6340
Other practice location 1
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 723-3245
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddelapena575018@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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200710002465 | OH | Practitioner - Internal Medicine | 0840569380 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Physicians Inc
Practice addresses (Care Compare)
101 E Alex Bell Rd
Suite 190
Dayton, OH 45459-2752
Phone (937) 425-4030
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
1745 E Stroop Rd
Kettering, OH 45429-5039
Phone (937) 381-6340
Hospital & facility affiliations
- Kettering Homecare
- Bethany Village Home Health Care
- Fidelity Health Care
- Kettering Health Main Campus
- Kettering Health Dayton
- Soin Medical Center
- Kettering Health Miamisburg
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Single Specialty | Current | Accepting new patients |
Locations
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
4441 Far Hills Ave
Kettering, OH 45429
Phone (937) 298-7351
1745 E Stroop Rd
Kettering, OH 45429
Phone (937) 281-6340
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
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.
-
- Urgent Care Clinic/Center
- Xenia, OH
- NPI 1952714420
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
- Home Health Agency
- Moraine, OH
- NPI 1235127838
-
- Home Health Agency
- Dayton, OH
- NPI 1265768956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1477085702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295039",
"telephone_number": "937-281-6340",
"fax_number": "937-281-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295039",
"telephone_number": "937-281-6340"
}
],
"practiceLocations": [
{
"address_1": "4441 Far Hills Ave",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454292405",
"country_code": "US",
"telephone_number": "937-723-3245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA PENA",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2025-01-15",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.013638",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddelapena575018@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "4441 Far Hills Ave",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454292405",
"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": "4441 Far Hills Ave",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454292405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kettering, OH
- Dayton Interventional Radiology LLC
- Dayton Oncology & Hematology, PA
- Dayton Orthopedic Surgery and Sports Medicine Center
- Dayton Osteopathic Hospital
- Dayton Veterans Affairs Medical Center
- Katherine Suzanne De la Pena
- Harold D Deal, PA
- Meghan Dean, CNP
- Jessica C Decker, NP
- Jacqueline Degen, AGACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.