Individual provider Active NPI

Kayla Michelle Lockhart, MD

  • Pediatrics Physician
  • Maumee, OH
National Provider Identifier
1811556137
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.145216 Issued in OH
Practice address
660 Beaver Creek Cir Ste 100
Maumee, OH 43537-1746
Phone
(419) 891-6221
Fax
(419) 893-3394
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.145216 OH Primary
Pediatrics Physician 208000000X EMC0002961 MI

Addresses

Primary practice location

660 Beaver Creek Cir Ste 100
Maumee, OH 43537-1746

Mailing address

660 Beaver Creek Cir Ste 100
Maumee, OH 43537-1746
Phone (419) 891-6221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klockhart171039@epicdirect.promedica.org

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
I20230207001078 OH Practitioner - Pediatric Medicine 6406228147 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.145216OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Oct 26, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Oct 26, 2022 Accepting new patients

Locations

660 Beaver Creek Cir
Ste 100
Maumee, OH 43537
Phone (419) 891-6221

217 Golden Gate Plz
Maumee, OH 43537
Phone (567) 585-0210

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1811556137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 BEAVER CREEK CIR STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371746",
            "telephone_number": "419-891-6221",
            "fax_number": "419-893-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BEAVER CREEK CIR STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371746",
            "telephone_number": "419-891-6221",
            "fax_number": "419-893-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "KAYLA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.145216",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "EMC0002961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klockhart171039@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "660 Beaver Creek Cir Ste 100",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435371746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.