Active NPI
Kelly Renee Kirk, DO
- Obstetrics & Gynecology Physician
- Bellefontaine, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34.016559
- Practice address
- 110 Dowell Ave
Bellefontaine, OH 43311-2305 - Phone
- (937) 599-3538
- Fax
- (937) 599-4712
- NPI assigned
- Mar 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34.016559 | OH | Primary |
Addresses
Primary practice location
110 Dowell Ave
Bellefontaine, OH 43311-2305
Mailing address
110 Dowell Ave
Bellefontaine, OH 43311-2305
Phone (937) 599-3538
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
- Obstetrics/Gynecology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Dowell Ave
Bellefontaine, OH 43311-2305
Phone (937) 599-3538
3535 Pentagon Blvd
Suite 220
Beavercreek, OH 45431-1705
Phone (937) 429-7350
Hospital & facility affiliations
- Soin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Rutan Hospital | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Alliance Physicians Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Mary Rutan Hospital | Past | Accepting new patients | |
| Community Mercy Health Partners | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Ste 220
Beavercreek, OH 45431
Phone (937) 429-7350
110 Dowell Ave
Bellefontaine, OH 43311
Phone (937) 593-0245
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
382 N Detroit St
Xenia, OH 45385
Phone (937) 376-4460
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
-
- Rural Health Clinic/Center
- Jackson Center, OH
- NPI 1528806510
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1902366313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 DOWELL AVE",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112305",
"telephone_number": "937-599-3538",
"fax_number": "937-599-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 DOWELL AVE",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112305",
"telephone_number": "937-599-3538",
"fax_number": "937-599-4712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "KELLY",
"middle_name": "RENEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34.016559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.