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

Mark W Moronell, MD

Individual provider Cardiovascular Disease Physician · NPI 1306864608

Mark W Moronell, MD is a Cardiovascular Disease (Cardiology) in Kettering, Ohio. Qualified in 1994, 32 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Alaska and Ohio.

Years since qualifying
32
Licensed in
AK, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1380 E Stroop Rd
Kettering, OH 45429
Phone: (937) 293-3486
Fax: (937) 293-3605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 35.122658 (OH)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 4457 (AK)

Record details

NPI number1306864608
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address1380 E Stroop Rd, Kettering, OH 45429-4926

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Kettering