NPIMap

Individual provider Active NPI

David R Kessler, M.D.

  • Family Medicine Physician
  • Waverly, OH
National Provider Identifier
1861427718
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35072728 Issued in OH
Practice address
621 E 5TH St
Waverly, OH 45690-1505
Phone
(740) 947-8670
NPI assigned
Jul 11, 2006
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35072728 OH Primary

Addresses

Primary practice location

621 E 5TH St
Waverly, OH 45690-1505

Mailing address

100 Dawn LN
Waverly, OH 45690-9138
Phone (740) 947-2186

Other practice location 1

100 Dawn Ln
Suite 3
Waverly, OH 45690-9138
Phone (740) 947-6490

Other identifiers 5

IdentifierTypeStateIssuer
0103980OtherUNITED HEALTHCARE
080156043OtherRAILROAD MEDICARE
000000118299OtherANTHEM
2029192MedicaidOH
5538518OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.fam.med.waverly@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100607000112 OH Practitioner - Family Practice 7517097298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

140 Morris Rd
Circleville, OH 43113-1362
Phone (740) 420-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072728OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pike Co CurrentSince Sep 1, 2022 Accepting new patients
Pike Co CurrentSince Sep 1, 2022 Accepting new patients
Adena Medical Group LLC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Traditions at Chillicothe Past Accepting new patients
Piketon Nursing Center LLC Past Accepting new patients
Waverly Care Center, Inc Past Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

100 Dawn Ln
Ste 3
Waverly, OH 45690
Phone (740) 947-6490

100 Dawn Ln
Ste 4
Waverly, OH 45690
Phone (740) 947-6480

116 S Market St
Waverly, OH 45690
Phone (740) 947-2995

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

621 E 5th St
Waverly, OH 45690
Phone (740) 947-4528

Interoperability endpoints

  • Direct secure messaging: dkessler1060678@direct.osumc.edu

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adena Pike Medical CenterWaverly, OH, CCN 361334 Hospital Corporate Director Jan 6, 2014
National Church Residences ChillicotheChillicothe, OH, CCN 366338 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2024
Jan 1, 2024
National Church Residences Bristol VillageWaverly, OH, CCN 365742 Skilled nursing facility Corporate Director
Adp of the SNF		 Mar 7, 2017
Jan 7, 2025
Adena HospiceChillicothe, OH, CCN 361591 Hospice W-2 Managing Employee Feb 1, 2026

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1861427718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DAWN LN",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909138",
            "telephone_number": "740-947-2186",
            "fax_number": "740-947-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E 5TH ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901505",
            "telephone_number": "740-947-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Dawn Ln",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456909138",
            "country_code": "US",
            "telephone_number": "740-947-6490",
            "fax_number": "740-947-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35072728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0103980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080156043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000118299",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029192",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5538518",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.waverly@adena.medicity.net",
            "affiliation": "N",
            "address_1": "621 E 5th St",
            "city": "Waverly",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456901505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.