Active NPI
Pierre Celestin Nkurunziza, CNP
- Acute Care Nurse Practitioner
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- COA. 16429-NP
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 762-1306
- Fax
- (937) 522-7626
- NPI assigned
- Jul 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN332681 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | RN332681 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | COA. 16429-NP | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
1 Prestige PL
Suite 550
Miamisburg, OH 45342-3794
Phone (937) 762-1306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110691 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pnkurunziza13911@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Cincinnati, OH 45242-4402
Phone (513) 745-1111
Hospital & facility affiliations
- Bethesda North
- Good Samaritan Hospital
- University of Cincinnati Medical Center, LLC
- Select Specialty Hospital-Cincinnati, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.66 of 100
- Quality
- 47.87
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 70.71
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.47 of 100
- Quality
- 87.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA. 16429-NP | OH | MD | Acute Care Nurse Practitioner |
| RN332681 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Providers and Hospitalists Inc | Current | Accepting new patients | |
| Pulmonary Medicine of Dayton Inc. | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Medicine Inpatient Group, LLC | Current | Accepting new patients | |
| Hospital Medicine Services of Ohio, Inc. | Current | Accepting new patients | |
| Midwest Hospitalists, Inc | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
10999 Reed Hartman Hwy
Ste 215
Blue Ash, OH 45242
Phone (513) 745-9320
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3533 Southern Blvd
Ste 5800
Kettering, OH 45429
Phone (937) 439-3600
4000 Miamisburg Centerville Rd
Ste 405
Miamisburg, OH 45342
Phone (937) 439-3600
4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1578687687
-
- Hospitalist Physician
- Mount Gilead, OH
- NPI 1073781597
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Hospitalist Physician
- Middletown, OH
- NPI 1326227307
-
- Pulmonary Disease Physician
- Miamisburg, OH
- NPI 1205806403
-
- Hospitalist Physician
- Blue Ash, OH
- NPI 1356465439
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- Long Term Care Hospital
- Cincinnati, OH
- NPI 1427056258
Long-term care hospital
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1902214307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL",
"address_2": "SUITE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423794",
"telephone_number": "937-762-1306",
"fax_number": "937-522-7626"
},
{
"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": "937-762-1306",
"fax_number": "937-522-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKURUNZIZA",
"first_name": "PIERRE",
"middle_name": "CELESTIN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-29",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "RN332681",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "RN332681",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA. 16429-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110691",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pnkurunziza13911@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 7, 2021; 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.