Active NPI
Nicholas P Christoff, MD
- Nephrology Physician
- Kettering, OH
National Provider Identifier
1740263771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 50517
- Practice address
- 500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410 - Phone
- (937) 222-3118
- Fax
- (937) 222-1436
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 50517 | OH | Primary |
Addresses
Primary practice location
500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410
Mailing address
500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410
Phone (937) 222-3118
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09533412900 | Other | BWC AND TRICARE | |
| 3108215037016 | Other | UMW | |
| 0565562 | Medicaid | OH | |
| 0000000004958 | Other | ANTHEM | |
| 2186015 | Other | AETNA | |
| D50517 | Other | HUMANA | |
| 310821503029 | Other | CARESSURCA | |
| 310921503 | Other | TAX ID | |
| 3120008 | Other | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50517 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1740263771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LINCOLN PARK BLVD",
"address_2": "SUITE 100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454296410",
"telephone_number": "937-222-3118",
"fax_number": "937-222-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LINCOLN PARK BLVD",
"address_2": "SUITE 100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454296410",
"telephone_number": "937-222-3118",
"fax_number": "937-222-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOFF",
"first_name": "NICHOLAS",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "50517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC AND TRICARE",
"identifier": "09533412900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMW",
"identifier": "3108215037016",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0565562",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0000000004958",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2186015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "D50517",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESSURCA",
"identifier": "310821503029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "310921503",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "3120008",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.