Individual provider Active NPI

Katie Krebs, MD

  • Sports Medicine (Family Medicine) Physician
  • Centerville, OH
National Provider Identifier
1962992354
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35.144841 Issued in OH
Practice address
2400 Miami Valley Dr Ste 160
Centerville, OH 45459-4774
Phone
(937) 312-1661
Fax
(937) 312-1701
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.144841 OH
Sports Medicine (Family Medicine) Physician 207QS0010X 35.144841 OH Primary

Addresses

Primary practice location

2400 Miami Valley Dr Ste 160
Centerville, OH 45459-4774

Mailing address

3170 Kettering Blvd BLDG B
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

2231 N High St
Columbus, OH 43201-1194
Phone (614) 293-2700

Other practice location 2

2350 Miami Valley Dr Ste 530
Centerville, OH 45459-4782
Phone (937) 435-3546

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
I20220826001125 OH Practitioner - Sports MedicinePractitioner - Family Practice 0648516096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Ohio State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2350 Miami Valley Dr
Suite 530
Centerville, OH 45459-4782
Phone (937) 435-3546

2400 Miami Valley Dr
Suite 160
Centerville, OH 45459-4774
Phone (937) 312-1661

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.144841OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Sep 19, 2022 Accepting new patients
Premier Health Specialists Inc Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Mvhe Inc CurrentSince Sep 19, 2022 Accepting new patients
Mvhe Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2400 Miami Valley Dr
Ste 160
Centerville, OH 45459
Phone (937) 312-1661

2350 Miami Valley Dr
Ste 530
Dayton, OH 45459
Phone (937) 435-3546

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
#B
Moraine, OH 45439

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 7

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1962992354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MIAMI VALLEY DR STE 160",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594774",
            "telephone_number": "937-312-1661",
            "fax_number": "937-312-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2231 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432011194",
            "country_code": "US",
            "telephone_number": "614-293-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Miami Valley Dr Ste 530",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594782",
            "country_code": "US",
            "telephone_number": "937-435-3546",
            "fax_number": "937-435-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREBS",
        "first_name": "KATIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.144841",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.144841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.