Active NPI
Elijah Kelley, DO
- Family Medicine Physician
- Huber Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.016091
- Practice address
- 8701 Old Troy Pike Ste 240
Huber Heights, OH 45424-1053 - Phone
- (937) 396-2880
- Fax
- (937) 396-2205
- NPI assigned
- Apr 9, 2021
- Last updated
- Jul 1, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.016091 | OH | Primary |
Addresses
Primary practice location
8701 Old Troy Pike Ste 240
Huber Heights, OH 45424-1053
Mailing address
8701 Old Troy Pike Ste 240
Huber Heights, OH 45424-1053
Phone (937) 396-2880
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ekelley744809@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8701 Old Troy Pike
Suite 240
Huber Heights, OH 45424-1053
Phone (937) 396-2880
Hospital & facility affiliations
- Kettering Homecare
- Kettering Health Dayton
- Soin Medical Center
- Kettering Health Main Campus
- Kettering Health Troy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.016091 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
| Alliance Physicians Inc | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
950 S Main St
Celina, OH 45822
Phone (419) 586-1611
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
8701 Old Troy Pike
Ste 240
Huber Heights, OH 45424
Phone (937) 233-4055
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Organizations & group practices 6
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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
dba Mercer Health
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
dba Kettering Head & Neck Surgery
- Surgery Physician
- Kettering, OH
- NPI 1457781221
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
-
dba mercer health medical equipment
- Durable Medical Equipment & Medical Supplies
- Coldwater, OH
- NPI 1609963198
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
dba Soin Medical Center
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Troy
- General Acute Care Hospital
- Troy, OH
- NPI 1023587045
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1790365286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 OLD TROY PIKE STE 240",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241053",
"telephone_number": "937-396-2880",
"fax_number": "937-396-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 OLD TROY PIKE STE 240",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241053",
"telephone_number": "937-396-2880",
"fax_number": "937-396-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "ELIJAH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-09",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.016091",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekelley744809@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "8701 Old Troy Pike Ste 240",
"city": "Huber Heights",
"state": "OH",
"country_code": "US",
"postal_code": "454241053",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "8701 Old Troy Pike Ste 240",
"city": "Huber Heights",
"state": "OH",
"country_code": "US",
"postal_code": "454241053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.