Individual provider Active NPI

William Alter, D.O.

  • Obstetrics & Gynecology Physician
  • Middletown, OH
National Provider Identifier
1669639779
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.009883 Issued in OH
Practice address
6147 State Route 122 Ste 110
Middletown, OH 45005-5201
Phone
(513) 261-3500
Fax
(513) 261-3509
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 58.002153 OH
Obstetrics & Gynecology Physician 207V00000X 34.009883 OH Primary

Addresses

Primary practice location

6147 State Route 122 Ste 110
Middletown, OH 45005-5201

Mailing address

6147 State Route 122 Ste 110
Middletown, OH 45005-5201
Phone (513) 261-3500

Other identifiers 1

IdentifierTypeStateIssuer
3071125MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address walter4573@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
I20101008001135 OH Practitioner - Obstetrics/Gynecology 5496947426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Osteopathic HospitalGroup PAC ID 7618878877, 34 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

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

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

6147 State Route 122
Middletown, OH 45005-5201

6147 W State Route 122
Suite 200
Middletown, OH 45005-5201
Phone (937) 294-4356

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009883OHMDObstetrics & Gynecology Physician
58.002153OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Osteopathic Hospital CurrentSince Sep 25, 2010 Accepting new patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Sep 25, 2010 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients

Locations

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

1989 Miamisburg Centerville Rd
Ste 204
Dayton, OH 45459
Phone (937) 384-6822

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

6147 State Route 122
Ste 110
Middletown, OH 45005
Phone (513) 260-3500

6147 State Route 122
Ste 200
Middletown, OH 45005
Phone (513) 261-3500

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1669639779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 STATE ROUTE 122 STE 110",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055201",
            "telephone_number": "513-261-3500",
            "fax_number": "513-261-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 STATE ROUTE 122 STE 110",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055201",
            "telephone_number": "513-261-3500",
            "fax_number": "513-261-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.002153",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.009883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071125",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "walter4573@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6147 State Route 122 Ste 110",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450055201",
            "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": "6147 State Route 122 Ste 110",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450055201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.