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Dr. Amanda Noelle Freeman , MD, PhD

Pediatrics β€’ Kettering, OH

Active NPI 1366837940 Individual Practitioner Female Practitioner
Practice location in NPPES

3535 Southern Blvd
Kettering, OH 454291221

Call 5136364225 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 5136364225
Organization at the Same NPPES Address or Phone
Kettering Physiatrists, Inc. Facility NPI 1902893035

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Dayton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Freeman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Freeman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kettering and Ohio

12 active clinicians are listed under Pediatrics with a practice address in Kettering, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kettering

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35.131801

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20240112002113

Enrollment State Jurisdiction

OH

PECOS Control ID

5092166132

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1775 Delco Park Dr

Dayton, OH 45420

Phone: 9372992339

1 Childrens Plz

Dayton, OH 454041873

Phone: 9376413433

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Mackenzie Berry , PA-C

Physician Assistant

NPI 1659049013

Physician Assistant (Certified)

Ashley Cantrell , PA-C

Physician Assistant - Medical

NPI 1275900516

Physician Assistant (Certified)

Dr. Chien Chow , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1386806222

Doctor of Medicine (M.D.)

Alyssa Harris , PA

Physician Assistant

NPI 1265848659

Physician Assistant

NPI 1760913560

Doctor of Medicine (M.D.), Master of Business Administration

Dr. Molly Moehlman , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1730686205

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location December 12, 2023

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 5136364225)

πŸ“
Updated Business Mailing Address December 12, 2023

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 5136364225)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2023

Student in an Organized Health Care Education/Training Program

πŸ“
Updated Practice Location June 15, 2018

Registered at 1775 DELCO PARK DR, DAYTON, OH 45420 (Tel: 9372992339)

πŸ“
Updated Business Mailing Address June 15, 2018

Registered at 1775 DELCO PARK DR, DAYTON, OH 454201398 (Tel: 9372992339)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2018

Pediatrics (license number reported to NPPES: OH 35.131801)

βœ…
NPI Profile Active April 01, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 01, 2015

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

πŸ“
Business Mailing Address (Initial Record) April 01, 2015

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

πŸ‘€
Provider Name / Credentials (Initial Record) April 01, 2015

Recorded as AMANDA FREEMAN, M.D., PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366837940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2015
Last Update: December 12, 2023
Sole Proprietor: Yes

Mailing Address

3535 Southern Blvd

Kettering, OH 454291221

Phone: 5136364225

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.