| Santosh R Likki, MD | |
|
1184 W Locust St, Wilmington, OH 45177 | |
| (937) 382-1616 | |
| (937) 382-7877 |
| Full Name | Santosh R Likki |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 30 Years |
| Location | 1184 W Locust St, Wilmington, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316926934 | NPI | - | NPPES |
| 2203412 | Medicaid | OH | |
| 64041635 | Medicaid | KY | |
| 000000331954 | Other | KY | ANTHEM BCBS |
| 200509220 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 35.078170 (Ohio) | Primary |
| 207R00000X | Internal Medicine | 38525 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 35078170 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center | Kettering, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Mvhe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
| Entity Name | Blanchard Valley Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179 |
| Entity Name | Ashtabula County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
| Entity Name | Apogee Medical Group Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477500999 PECOS PAC ID: 8224082292 Enrollment ID: O20050311000733 |
| 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 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Entity Name | Midwest Hospitalist Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891242319 PECOS PAC ID: 9830487966 Enrollment ID: O20161005001890 |
| Entity Name | Adfinitas Health Of Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881200475 PECOS PAC ID: 5597185926 Enrollment ID: O20201023000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Santosh R Likki, MD 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Santosh R Likki, MD 1184 W Locust St, Wilmington, OH 45177 Ph: (937) 382-1616 |
Dr. Hassan Issa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 31 Farquhar Ave, Wilmington, OH 45177 Phone: 937-283-2273 Fax: 937-283-2278 |