Renny George Abraham, M.D
Individual provider Active NPI Hematology & Oncology Physician · Kettering, OH
NPI 1891174397 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1891174397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 1891174397 (OH)
- Practice address
- 3535 Southern Blvd # 6E
Kettering, OH 45429-1221 - Phone
- (937) 395-8693
- NPI assigned
- May 29, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kettering Independent Medical Group Inc
Texas Oncology PA
Practice addresses (Care Compare)
1010 Cereal Ave
Suite 300
Hamilton, OH 45013-2789
Phone (855) 500-2873
1228 Church St
Sulphur Springs, TX 75482-2195
Phone (903) 438-1073
Hospital & facility affiliations
- Hunt Regional Medical Center
- Kettering Health Dayton
- Christus Mother Frances Hospital Sulphur Springs
- Kettering Health Main Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250707000481 | OH | Practitioner - Internal Medicine | 3476846031 | Reassigns benefits to 1 organization |
| I20251013002297 | TX | Practitioner - Hematology/Oncology |
3476846031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1891174397 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current |
Accepting new patients |
| Kettering Independent Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current |
Accepting new patients |
Locations
3535 Pentagon Blvd
Ste 400
Beavercreek, OH 45431
Phone (855) 500-2873
1010 Cereal Ave
Ste 300
Hamilton, OH 45013
Phone (513) 751-2145
3535 Southern Blvd
#6E
Kettering, OH 45429
Phone (937) 298-4331
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1228 Church St
Sulphur Springs, TX 75482
Phone (903) 438-1073
Interoperability endpoints
- renny.abraham@txo.ikm.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301107350 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 1891174397 | OH | Yes |
Addresses
Primary practice location
3535 Southern Blvd # 6E
Kettering, OH 45429-1221
Mailing address
148 Tributary Dr
Fairborn, OH 45324-1190
Other practice location 1
22101 Moross Rd
Professional Building 2 Suite 50
Detroit, MI 48236-2148
Phone (313) 343-7784
Other practice location 2
225 E Jackson Ave
Jonesboro, AR 72401
Phone (347) 426-7201
Other providers in Kettering, OH
- 360-Wellness Center
- Emily Nichole Abner
- Accelerated Rehabilitation Centers LTD
- Wynn W Adam
- Rebekah Ruth Adams
- Robert David Nathan Adams
- Stephen Adams
All providers in Kettering, OH · Hematology & Oncology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.