MARK EDWARD MINOR – Pediatric Pulmonology Physician, NPI 1689930737
Pediatric Pulmonology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
850 PULMONARY DISEASE in OH
Provider Addresses for MARK EDWARD MINOR
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 641-4000
Type: Location
1 CHILDRENS PLZ
DAYTON, OH 454041815
Phone: (937) 641-3000
Type: Mailing
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-5072
Fax: (937) 641-6129
Type: Mailing
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190117002657 | I | Pulmonary Disease | OH | TBD |
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.
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 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | OH | |
| Emergency Medicine, Pediatric Medicine | NY | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| Pediatric Medicine, General Surgery | OH | |
| A N E S T H E S I O L O G Y | TN | |
| Pediatric Medicine | OH | |
| Critical Care (Intensivists), Pediatric Medicine | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| Pediatric Medicine | OH |
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