Active NPI
Kenneth Brian Pugar, D.O.
- Neurology Physician
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 34-00-4738-P
- Practice address
- 1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811 - Phone
- (937) 439-6186
- Fax
- (937) 439-9900
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 34-00-4738-P | OH | Primary |
Addresses
Primary practice location
1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Mailing address
1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186
Other practice location 1
630 W Main St Ste 207
Wilmington, OH 45177-2166
Phone (937) 283-2570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0742138 | Medicaid | OH | |
| 1528060399 | Other | OH | CHAMPUS/TRICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Philadelphia College of Osteopathic Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 Edwin C Moses Blvd
Cassano Comm HLTH CT
Dayton, OH 45407
Phone (937) 396-8150
1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Health Dayton
- Kettering Health Main Campus
- Kettering Health Miamisburg
- Soin Medical Center
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.05 of 100
- Quality
- 81.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Center for Neurological Disorders,Inc | Current | Accepting new patients | |
| Alliance Physicians Inc | Neurology | Current | Accepting new patients |
| Dayton Osteopathic Hospital | Current | Accepting new patients | |
| Dayton Osteopathic Hospital | Current | Accepting new patients | |
| Dayton Osteopathic Hospital | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Wilmington Physicians Group LLC | Neurology | Current | Accepting new patients |
| Dayton Center for Neurological Disorders Inc | Neurology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2510 Commons Blvd
Ste 276
Beavercreek, OH 45431
1504 Yankee Park Pl
Dayton, OH 45458
Phone (937) 424-3068
165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
165 S Edwin C Moses Blvd
Ste 100
Dayton, OH 45402
Phone (937) 535-5060
450 Washington Jackson Rd
Ste 111
Eaton, OH 45320
3533 Southern Blvd
Ste 5200
Kettering, OH 45429
Phone (937) 395-8002
3700 Southern Blvd
Ste 5200
Kettering, OH 45429
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
1975 Miamisburg Centerville Rd
Washington Township, OH 45459
1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570
Interoperability endpoints
- https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
- kenneth.pugar.1@1367.direct.athenahealth.com
- https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Neurology Physician
- Centerville, OH
- NPI 1699728972
-
- Multi-Specialty Clinic/Center
- Dayton, OH
- NPI 1588630347
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Nurse Practitioner
- Centerville, OH
- NPI 1750833760
-
- Reproductive Endocrinology Physician
- Kettering, OH
- NPI 1578824033
-
- Obstetrics & Gynecology Physician
- Dayton, OH
- NPI 1053386102
-
- Specialty Pharmacy
- Kettering, OH
- NPI 1629511688
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1528060399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 MIAMISBURG CENTERVILLE RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593811",
"telephone_number": "937-439-6186",
"fax_number": "937-439-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 MIAMISBURG CENTERVILLE RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593811",
"telephone_number": "937-439-6186",
"fax_number": "937-439-9900"
}
],
"practiceLocations": [
{
"address_1": "630 W Main St Ste 207",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "OH",
"postal_code": "451772166",
"country_code": "US",
"telephone_number": "937-283-2570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGAR",
"first_name": "KENNETH",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "34-00-4738-P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0742138",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "1528060399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.