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

Dr. Phillip Michael Porcelli, DO

Individual provider Neurological Surgery Physician · NPI 1629287677

Dr. Phillip Michael Porcelli, DO is a Neurosurgery in Kettering, Ohio. Qualified in 2005, 21 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
21
Licensed in
IL, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3700 Southern Blvd Ste 300
Kettering, OH 45429-1265
Phone: (937) 643-9299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3533 Southern Blvd, Kettering, OH 45429-1264 — (937) 643-9299

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 34010246 (OH)
Neurological Surgery Physician Taxonomy 207T00000X · Licence BB0454912(81) (IL)

Record details

NPI number1629287677
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kettering