Individual provider Active NPI

Kenneth Brian Pugar, D.O.

  • Neurology Physician
  • Centerville, OH
National Provider Identifier
1528060399
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34-00-4738-P Issued in OH
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

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0742138MedicaidOH
1528060399OtherOHCHAMPUS/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000672 OH Practitioner - Neurology 2163319930 Reassigns benefits to 5 organizations

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
Dayton Osteopathic HospitalGroup PAC ID 7618878877, 34 clinicians
Dayton Center for Neurological Disorders IncGroup PAC ID 4082501853, 26 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

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 Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
87.05 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Dayton Center for Neurological Disorders,Inc Current Accepting new patients
Alliance Physicians Inc Neurology CurrentSince Apr 11, 2011 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2000 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2000 Accepting new patients
Dayton Osteopathic Hospital Current Accepting new patients
Alliance Physicians Inc CurrentSince Apr 11, 2011 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Wilmington Physicians Group LLC Neurology CurrentSince May 29, 2019 Accepting new patients
Dayton Center for Neurological Disorders Inc Neurology CurrentSince Oct 1, 1988 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

  • FHIR API: https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kenneth.pugar.1@1367.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.