NPIMap

Individual provider Active NPI

Kevin L Sharrett, MD

  • Family Medicine Physician
  • Xenia, OH
National Provider Identifier
1528007754
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.063798 Issued in OH
Practice address
50 N Progress Dr
Xenia, OH 45385-2666
Phone
(937) 675-2870
Fax
(937) 675-2873
NPI assigned
Jun 5, 2006
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.063798 OH Primary

Addresses

Primary practice location

50 N Progress Dr
Xenia, OH 45385-2666

Mailing address

50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 675-2870

Other practice location 1

888 Dayton St Ste 200
Yellow Springs, OH 45387-1777
Phone (937) 767-7291

Other identifiers 1

IdentifierTypeStateIssuer
0891281MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ksharrett196121@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000727 OH Practitioner - Family Practice 0749243723 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Jul 9, 2018 Accepting new patients
High-Day, LLC Past Accepting new patients
Greene Memorial Hospital Inc Past Accepting new patients
Wilmington Healthcare Group, Inc. Past Accepting new patients
Beavercreek Medical Center Past Accepting new patients
CT Ohio Xenia LLC Past Accepting new patients
CT Ohio Jamestown LLC Past Accepting new patients

Locations

29 Kyle Dr
Cedarville, OH 45314
Phone (937) 766-2611

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

4790 Cottonville Rd
Jamestown, OH 45335
Phone (937) 675-2870

4940 Cottonville Rd
Ste 100
Jamestown, OH 45335
Phone (937) 675-6830

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

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

1157 N Monroe Dr
Ste 220
Xenia, OH 45385
Phone (937) 374-3484

50 N Progress Dr
Xenia, OH 45385
Phone (937) 352-2850

888 Dayton St
Unit 200
Yellow Springs, OH 45387
Phone (937) 767-7291

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kettering Health HamiltonHamilton, OH, CCN 360132 Hospital Corporate Director Jan 31, 2024
Kettering Health Greene MemorialXenia, OH, CCN 360026 Hospital Corporate Director Jan 31, 2024
Kettering Health DaytonDayton, OH, CCN 360133 Hospital Corporate Director Jan 31, 2024
Kettering Health MiamisburgMiamisburg, OH, CCN 360239 Hospital Corporate Director Jan 31, 2024
Soin Medical CenterBeavercreek, OH, CCN 360360 Hospital Corporate Director Jan 31, 2024
Kettering Health TroyTroy, OH, CCN 360368 Hospital Corporate Director Jan 31, 2024
KH Hamilton Inpatient Rehab UnitHamilton, OH, CCN 36T132 Hospital Corporate Director Jan 31, 2024
Kettering Health Primary Care, a Service of Kettering Health Greene MeJamestown, OH, CCN 363428 Rural health clinic Corporate Director Jan 31, 2024

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1528007754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852666",
            "telephone_number": "937-675-2870",
            "fax_number": "937-675-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852666",
            "telephone_number": "937-675-2870",
            "fax_number": "937-675-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Dayton St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Yellow Springs",
            "state": "OH",
            "postal_code": "453871777",
            "country_code": "US",
            "telephone_number": "937-767-7291",
            "fax_number": "937-767-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARRETT",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.063798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0891281",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksharrett196121@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "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": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.