Individual provider Active NPI

Thaddene Triplett, MD

  • Pediatrics Physician
  • Xenia, OH
National Provider Identifier
1780717645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35066108 Issued in OH
Practice address
1659 W 2ND St
Xenia, OH 45385-4205
Phone
(937) 376-5437
Fax
(937) 376-8038
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35066108 OH Primary

Addresses

Primary practice location

1659 W 2ND St
Xenia, OH 45385-4205

Mailing address

1659 W 2ND St
Xenia, OH 45385-4205
Phone (937) 376-5437

Other identifiers 1

IdentifierTypeStateIssuer
0968172MedicaidOH

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
I20250219002800 OH Practitioner - Pediatric Medicine 3375063472 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066108OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Health Centers Pediatrics CurrentSince Feb 6, 2025 Accepting new patients
Five Rivers Health Centers CurrentSince Feb 6, 2025 Accepting new patients

Locations

2261 Philadelphia Dr
Dayton, OH 45406
Phone (937) 281-6800

721 Miami Chapel Rd
Dayton, OH 45417
Phone (937) 281-5970

360 Wilson Dr
Xenia, OH 45385
Phone (937) 208-3535

1659 W 2nd St
Xenia, OH 45385
Phone (937) 281-6800

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780717645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 W 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453854205",
            "telephone_number": "937-376-5437",
            "fax_number": "937-376-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 W 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453854205",
            "telephone_number": "937-376-5437",
            "fax_number": "937-376-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPLETT",
        "first_name": "THADDENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35066108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0968172",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.