Individual provider Active NPI

Cletus Kobiah Oppong, M.D

  • Occupational Medicine Physician
  • Utica, KY
National Provider Identifier
1912264284
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
53413 Issued in KY
Practice address
2272 Meadowhill LN
Utica, KY 42376-9066
Phone
(812) 483-1323
Fax
(812) 289-3473
NPI assigned
Apr 11, 2012
Last updated
May 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 53413 KY
Occupational Medicine Physician 2083X0100X 53413 KY Primary
General Practice Physician 208D00000X 73916 GA

Addresses

Primary practice location

2272 Meadowhill LN
Utica, KY 42376-9066

Mailing address

2272 Meadowhill LN
Utica, KY 42376-9066
Phone (812) 483-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200812000734 KY Practitioner - Preventive Medicine 7719303403 Reassigns benefits to 2 organizations
Practice locations: Utica, KY

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Morehouse School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kible Health PAGroup PAC ID 0941722474, 21 clinicians

Practice addresses (Care Compare)

Louisville, KY 40202
Phone (646) 396-0527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53413KYMDPreventive Medicine/Occupational Environmental Medicine Physician
73916GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Aug 1, 2020 Accepting new patients
Owensboro Health Medical Group, Inc Occupational Medicine CurrentSince Aug 1, 2020 Accepting new patients
Kible Health, P.a. CurrentSince Dec 4, 2025 Accepting new patients
Harwood Healthcare Corp PastSince Feb 4, 2024 Accepting new patients

Locations

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • Direct secure messaging: cletus.oppong.1@22307.direct.athenahealth.com
  • Direct secure messaging: coppong101589@direct.owensborohealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1912264284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 MEADOWHILL LN",
            "city": "UTICA",
            "state": "KY",
            "postal_code": "423769066",
            "telephone_number": "812-483-1323",
            "fax_number": "812-289-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 MEADOWHILL LN",
            "city": "UTICA",
            "state": "KY",
            "postal_code": "423769066",
            "telephone_number": "812-483-1323",
            "fax_number": "812-289-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPONG",
        "first_name": "CLETUS",
        "middle_name": "KOBIAH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "KY",
            "license": "53413",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KY",
            "license": "53413",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "73916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, KY

Sources for this page

Verify at the official NPI Registry.