Individual provider Active NPI

Kamal Ronald Woods, M.D.

  • Neurological Surgery Physician
  • Miamisburg, OH
National Provider Identifier
1871706473
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35129575 Issued in OH
Practice address
4501 Lyons Rd
Miamisburg, OH 45342-6444
Phone
(844) 255-2225
Fax
(833) 314-0504
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A97961 CA
Neurological Surgery Physician 207T00000X 35129575 OH Primary

Addresses

Primary practice location

4501 Lyons Rd
Miamisburg, OH 45342-6444

Mailing address

4501 Lyons Rd
Miamisburg, OH 45342-6444
Phone (844) 255-2225

Other identifiers 1

IdentifierTypeStateIssuer
0184043MedicaidOH

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
I20160927000578 OH Practitioner - Neurosurgery 9335310457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vertrae, Inc.Group PAC ID 6103246723, 3 clinicians

Practice addresses (Care Compare)

4501 Lyons Rd
Miamisburg, OH 45342-6444
Phone (844) 255-2225

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion76
Laminectomy or laminotomy (partial removal of spine bones)40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35129575OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vertrae Surgery Center, LLC Current Accepting new patients
Vertrae, Inc. Neurological Surgery CurrentSince Nov 2, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7933 Washington Woods Dr
Dayton, OH 45459
Phone (844) 255-2225

4501 Lyons Rd
Miamisburg, OH 45342
Phone (844) 255-2225

Interoperability endpoints

  • Direct secure messaging: kamal.woods.1@22702.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22702/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kwoods12353@direct.llu.edu
  • Direct secure messaging: kwoods576132@direct.ketteringhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1871706473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LYONS RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426444",
            "telephone_number": "844-255-2225",
            "fax_number": "833-314-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 LYONS RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426444",
            "telephone_number": "844-255-2225",
            "fax_number": "833-314-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KAMAL",
        "middle_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A97961",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35129575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.