Individual provider Active NPI

Kristi L. Pedler, MD

  • Obstetrics & Gynecology Physician
  • Sidney, OH
National Provider Identifier
1972557049
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
87826 Issued in OH
Practice address
915 W Michigan St
Sidney, OH 45365
Phone
(937) 498-5513
Fax
(937) 497-5674
NPI assigned
May 21, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 87826 OH Primary

Addresses

Primary practice location

915 W Michigan St
Sidney, OH 45365

Mailing address

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 498-5373

Other identifiers 1

IdentifierTypeStateIssuer
2658771MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristi.pedler@wilsonhospital.medicity.net

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
I20060801000097 OH Practitioner - Obstetrics/Gynecology 1557374980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 494-5933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87826OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Care, LLC Obstetrics & Gynecology CurrentSince Jul 18, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Shelby County Memorial Hospital Association Inc. Past Accepting new patients

Locations

11531 State Route 66
Minster, OH 45865
Phone (937) 295-2949

1255 E Ash St
Piqua, OH 45356
Phone (513) 773-0980

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Ste 102
Sidney, OH 45365
Phone (937) 498-5373

915 Michigan St
Ste 201
Sidney, OH 45365
Phone (937) 492-2400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

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": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1972557049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-5373",
            "fax_number": "937-498-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-498-5513",
            "fax_number": "937-497-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDLER",
        "first_name": "KRISTI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "87826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2658771",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristi.pedler@wilsonhospital.medicity.net",
            "affiliation": "N",
            "address_1": "915 W Michigan St",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.