MICHAEL NOLLER (MD) – Otolaryngology Physician, NPI 1043712359

MICHAEL NOLLER (MD) is a healthcare provider. based in Dayton, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 01092986A (IN). The NPI Number for MICHAEL NOLLER (MD) is 1043712359

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL NOLLER (MD)
NPI
1043712359
Phone
Not provided
Address
4881 SUGAR MAPLE DR
Enumeration Date
2 March 2018
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
9374962620437
Graduation Year
2018 (8 years ago)
PAC ID
5991159501
Group Practice PAC ID
2163403098
Professional Enrollment ID
I20250925004572
Address ID
OH454022642DA1222XBLVD401

Contacts

Secure Messaging
mnoller@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

535 OTOLARYNGOLOGY in OH

Provider Addresses for MICHAEL NOLLER (MD)

  • 4881 SUGAR MAPLE DR

    DAYTON, OH 454335529

    Phone:

    Type: Mailing

  • 8901 Rockville Pike

    Bethesda, MD 208890001

    Phone: (210) 422-8926

    Type: Location

  • 5165 McCarty Ln

    Lafayette, IN 479058764

    Phone: (765) 448-8000

    Fax: (765) 448-7625

    Type: Location

  • Walter Reed National Military Medical Center, 8901, Rockville Pike, Glenbrook, Maplewood, Bethesda, Montgomery County, Maryland, 20889, United States

    BETHESDA, MD 208890001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240227002181IOtolaryngologyWVTBD
I20240322002130IOtolaryngologyINTBD
I20250925004572IOtolaryngologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45433)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163403098View full group profile
NameSpecialtyState
Qualified AudiologistNM
-OH
Qualified AudiologistCT
Nurse PractitionerOH
Qualified Speech Language PathologistOH
Qualified AudiologistOH
-OH
Qualified AudiologistOH
Qualified AudiologistOH
O T O L A R Y N G O L O G YOH

Reviews

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Frequently asked questions

Does MICHAEL NOLLER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL NOLLER (MD) uses 1043712359.
Is MICHAEL NOLLER (MD) listed as active for patients and plans?
The listing shows MICHAEL NOLLER (MD) as active in the NPI system.
What taxonomy line describes MICHAEL NOLLER (MD)?
For research purposes, treat MICHAEL NOLLER (MD) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL NOLLER (MD)?
MICHAEL NOLLER (MD)'s geographic hint is Dayton, Ohio in our summary view.
Why does MICHAEL NOLLER (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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