NPIMap

Individual provider Active NPI

Kenneth Wayne Vawter, MD

  • Orthopaedic Surgery Physician
  • Dayton, OH
National Provider Identifier
1649268970
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200501605 Issued in NC
Practice address
4881 Sugar Maple Dr
Wright Patterson AFB
Dayton, OH 45433-5529
Phone
(937) 257-9416
Fax
(937) 656-1235
NPI assigned
Oct 11, 2005
Last updated
Mar 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 200501605 NC Primary

Addresses

Primary practice location

4881 Sugar Maple Dr
Wright Patterson AFB
Dayton, OH 45433-5529

Mailing address

4881 Sugar Maple Dr
Wright-Patterson Medical Center
Dayton, OH 45433
Phone (937) 257-9416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141201001978 NC Practitioner - Orthopedic Surgery 0749502805 Practice locations: Matthews, NC
I20180214001548 OH Practitioner - Orthopedic Surgery 0749502805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

720 Elm St
Wilmington, OH 45177-2878
Phone (513) 354-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement13
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501605NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince May 1, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD Orthopaedic Surgery CurrentSince May 1, 2023 Accepting new patients
Wilmington Physicians Group LLC CurrentSince Mar 1, 2018 Accepting new patients
Trihealth H LLC Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

630 W Main St
Ste 109
Wilmington, OH 45177
Phone (937) 283-9580

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

720 Elm St
Wilmington, OH 45177
Phone (937) 283-2186

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kenneth.vawter.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: kevawter@yourcarecommunity.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1649268970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "WRIGHT-PATTERSON MEDICAL CENTER",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9416",
            "fax_number": "919-722-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "WRIGHT PATTERSON AFB",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-9416",
            "fax_number": "937-656-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAWTER",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200501605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.