Dayton Physicians – Hematology & Oncology Physician, NPI 1902844947
Hematology & Oncology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Dayton Physicians
3120 GOVERNOR'S PLACE BLVD
DAYTON, OH 45409
Phone: (937) 280-8400
Fax: (937) 280-8373
Type: Location
2350 Miami Valley Dr Ste 500
Centerville, OH 454594780
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
9000 N Main St Ste 200
Englewood, OH 454151165
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
3120 GOVERNORS PLACE BLVD
DAYTON, OH 454091328
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
855 W Market St
Troy, OH 453733837
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
2300 Miami Valley Dr Ste 150
Centerville, OH 454591294
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
3130 N County Road 25A
Troy, OH 453731337
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
501 Atrium Dr Ste 100
Middletown, OH 450055165
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
1111 Sweitzer St Ste C
Greenville, OH 453311189
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
8881 N Main St
Dayton, OH 454151333
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
9000 N Main St Ste G-37
Englewood, OH 454151180
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
9000 N MAIN ST STE G-36
ENGLEWOOD, OH 454151183
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
St. Joseph Orphanage – Dayton Office, 6680, Poe Avenue, North Dayton, Vandalia, Montgomery County, Ohio, 45414, United States
SUITE 200
DAYTON, OH 45414
Phone: (937) 280-8366
Fax: (937) 280-8373
Type: Mailing
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: 2012-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (343 days ago).
Enrollment records
1
Earliest due date
2025-06-30
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 |
|---|---|---|---|---|
| O20121018000572 | O | Physician - Hematology/Oncology | OH | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45409)
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