| Kavya Pontzloff, | |
|
405 W Grand Ave, Dayton, OH 45405-7538 | |
| (937) 723-3276 | |
| (937) 723-3277 |
| Full Name | Kavya Pontzloff |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 32 Years |
| Location | 405 W Grand Ave, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770704298 | NPI | - | NPPES |
| 2847914 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 35.090575 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Health Dayton | Dayton, OH | Hospital |
| Kettering Health Main Campus | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 699 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Kavya Pontzloff, 1 Prestige Pl, Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Kavya Pontzloff, 405 W Grand Ave, Dayton, OH 45405-7538 Ph: (937) 723-3276 |
Sable Ann Morgan, CNP Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 |
Shamsuddin C Pracha, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8881 N Main St, Dayton, OH 45415 Phone: 937-832-5292 Fax: 937-832-7505 |
Anca Romelia Udrea, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-208-8388 |
Jon Dylan Girard, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St, Ste 3300, Dayton, OH 45409 Phone: 937-208-8394 |
Raghdaa Toban, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 30 E Apple St, Suite 6250, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-208-8388 |