Individual provider Active NPI

Lesley Ann Meeker, MD

  • Family Medicine Physician
  • Kettering, OH
National Provider Identifier
1568467793
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-2194-M Issued in OH
Practice address
3080 Ackerman Blvd
Ste 300
Kettering, OH 45429-3559
Phone
(937) 293-5080
Fax
(937) 293-8820
NPI assigned
Jun 15, 2005
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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 35-08-2194-M OH Primary

Addresses

Primary practice location

3080 Ackerman Blvd
Ste 300
Kettering, OH 45429-3559

Mailing address

3080 Ackerman Blvd
Ste 300
Kettering, OH 45429-3559
Phone (937) 293-5080

Other identifiers 1

IdentifierTypeStateIssuer
2419387MedicaidOH

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
I20040429000028 OH Practitioner - Family Practice 6406843671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company CurrentSince Apr 15, 2024 Accepting new patients
Mvhe Inc CurrentSince Apr 7, 2014 Accepting new patients
Mvhe Inc Family Medicine Current Accepting new patients
Mvhe Inc Family Medicine CurrentSince Apr 7, 2014 Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

3080 Ackerman Blvd
Ste 300
Kettering, OH 45429
Phone (937) 293-5080

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 5

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1568467793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 ACKERMAN BLVD",
            "address_2": "STE 300",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293559",
            "telephone_number": "937-293-5080",
            "fax_number": "937-293-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 ACKERMAN BLVD",
            "address_2": "STE 300",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293559",
            "telephone_number": "937-293-5080",
            "fax_number": "937-293-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKER",
        "first_name": "LESLEY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-2194-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2419387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.