Individual provider Active NPI

Beverly Alten, MD

  • Obstetrics & Gynecology Physician
  • Fairfield Township, OH
National Provider Identifier
1669415402
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.134793 Issued in OH
Practice address
3035 Hamilton Mason Rd Ste 201
Fairfield Township, OH 45011
Phone
(513) 894-4121
Fax
(513) 894-4120
NPI assigned
Jun 13, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2001009168 MO
Obstetrics & Gynecology Physician 207V00000X OOO26669 AL
Obstetrics & Gynecology Physician 207V00000X 35.134793 OH Primary

Addresses

Primary practice location

3035 Hamilton Mason Rd Ste 201
Fairfield Township, OH 45011

Mailing address

3035 Hamilton Mason Rd Ste 201
Fairfield Township, OH 45011-5545
Phone (513) 894-4121

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address balten636455@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: 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
I20180925003099 OH Practitioner - Obstetrics/Gynecology 9436116688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

5095 University Park Blvd
Oxford, OH 45056-9384
Phone (513) 867-1200

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OOO26669ALMDObstetrics & Gynecology Physician
2001009168MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
The Fort Hamilton Hospital Past Accepting new patients
Affinity Physician Services LLC Past Accepting new patients

Locations

3035 Hamilton Mason Rd
Ste 201
Fairfield Township, OH 45011
Phone (513) 721-3200

2449 Ross Millville Rd
Ste 252
Hamilton, OH 45013
Phone (513) 267-1200

520 Eaton Ave
Ste 200
Hamilton, OH 45013
Phone (513) 867-1200

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

5095 University Park Blvd
Oxford, OH 45056
Phone (513) 867-1200

Interoperability endpoints

  • Direct secure messaging: balten636455@direct.ketteringhealth.org
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 3

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 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1669415402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD STE 201",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115545",
            "telephone_number": "513-894-4121",
            "fax_number": "513-894-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD STE 201",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "513-894-4121",
            "fax_number": "513-894-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTEN",
        "first_name": "BEVERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2001009168",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "OOO26669",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.134793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "balten636455@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3035 Hamilton Mason Rd Ste 201",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45011",
            "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": "3035 Hamilton Mason Rd Ste 201",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

Verify at the official NPI Registry.