Active NPI
Keith Michael Reisinger-Kindle, DO, MPH, MS
- Obstetrics & Gynecology Physician
- Beavercreek, OH
National Provider Identifier
1801258397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34.014333
- Practice address
- 725 University Blvd
Beavercreek, OH 45324-2640 - Phone
- (937) 245-7200
- NPI assigned
- Mar 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34.014333 | OH | Primary |
Addresses
Primary practice location
725 University Blvd
Beavercreek, OH 45324-2640
Mailing address
2111 W Park CT
Champaign, IL 61821-2986
Phone (224) 350-2973
Other names 1
- Mr. Keith Michael Reisinger II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.17 of 100
- Quality
- 65.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equity Clinic S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Planned Parenthood of Illinois | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2111 W Park Ct
Champaign, IL 61821
Phone (217) 356-3850
Interoperability endpoints
- keith.reisinger-kindle.1@27494.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Champaign, IL
- NPI 1578275335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1801258397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 W PARK CT",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618212986",
"telephone_number": "224-350-2973",
"fax_number": "224-350-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 UNIVERSITY BLVD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "453242640",
"telephone_number": "937-245-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISINGER-KINDLE",
"first_name": "KEITH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO, MPH, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34.014333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEITH",
"last_name": "REISINGER",
"middle_name": "MICHAEL",
"prefix": "MR.",
"suffix": "II",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.