Active NPI
Katie Calaway Imhof, M.D.
- Emergency Medicine Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.121503
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 436-4658
- Fax
- (937) 436-4984
- NPI assigned
- Apr 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Emergency Medicine Physician | 207P00000X | 35.121503 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
20 Prestige Plaza Dr
Suite 100
Miamisburg, OH 45342-7303
Phone (937) 436-4658
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H215720 | Other | OH | MEDICARE PTAN |
| H207170 | Other | OH | MEDICARE PTAN |
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
- Emergency Medicine
- Education
- Wright State University Boonshoft School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8888
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 76.8
- Improvement activities
- 40
- Cost
- 74.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
| Greene Emergency Medical Services | Past | Accepting new patients |
Locations
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Miamisburg, OH
- NPI 1366428575
-
- Emergency Medical Services (Emergency Medicine) Physician
- Xenia, OH
- NPI 1104814276
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1821389719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PRESTIGE PLAZA DR",
"address_2": "SUITE 100",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453427303",
"telephone_number": "937-436-4658",
"fax_number": "937-436-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-436-4658",
"fax_number": "937-436-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMHOF",
"first_name": "KATIE",
"middle_name": "CALAWAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-26",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.121503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H215720",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H207170",
"state": "OH"
}
],
"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 Aug 9, 2013; 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.