Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Thomas Pucheril, MD, MBA

Individual provider Urology Physician · NPI 1215298104

Dr. Daniel Thomas Pucheril, MD, MBA is an Urology in Kettering, Ohio. Qualified in 2012, 14 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
14
Licensed in
MI, OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

3737 Southern Blvd Ste 4200
Kettering, OH 45429-0135
Phone: (937) 294-1489
Fax: (937) 294-7999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 35.134964 (OH)
Urology Physician Taxonomy 208800000X · Licence 4301100400 (MI)

Record details

NPI number1215298104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Kettering