Individual provider Active NPI

Kelly Renee Kirk, DO

  • Obstetrics & Gynecology Physician
  • Bellefontaine, OH
National Provider Identifier
1902366313
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.016559 Issued in OH
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

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905001747 OH Practitioner - Obstetrics/Gynecology 3971836230 Reassigns benefits to 2 organizations

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
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

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 Hospital, Beaver Creek, OH, CCN 360360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Mar 2, 2026 Accepting new patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Alliance Physicians Inc Obstetrics & Gynecology PastSince Sep 1, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.