Dayton Gastroenterology Llc - Medicare Primary Care in Dayton, OH

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Dayton Gastroenterology Llc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Dayton, Ohio. The current practice location for Dayton Gastroenterology Llc is 75 Sylvania Dr, Dayton, Ohio. For appointments, you can reach them via phone at (937) 320-5050. The mailing address for Dayton Gastroenterology Llc is One Gi Credentialing Department, Po Box 381468, Germantown, Tennessee and phone number is () -.

Dayton Gastroenterology Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134345705. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (937) 320-5050.

Contact Information

Dayton Gastroenterology Llc
75 Sylvania Dr
Dayton
OH 45440-3237
(937) 320-5050
(937) 320-5060

Map and Direction


Primary Care Clinic Profile

Full NameDayton Gastroenterology Llc
SpecialityInternal Medicine
Location75 Sylvania Dr, Dayton, Ohio
Authorized Official Name and PositionAimee Cathleen Judy (DIRECTOR, CREDENTIALING)
Authorized Official Contact9017374665
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dayton Gastroenterology Llc
One Gi Credentialing Department
Po Box 381468
Germantown
TN 38183

Ph: () -		Dayton Gastroenterology Llc
75 Sylvania Dr
Dayton
OH 45440-3237

Ph: (937) 320-5050

NPI Details:

NPI Number1134345705
Provider Enumeration Date04/18/2007
Last Update Date03/10/2025

Medicare PECOS Information:

Medicare PECOS PAC ID9537064407
Medicare Enrollment IDO20031204000041

Medical Identifiers

Medical identifiers for Dayton Gastroenterology Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134345705NPI-NPPES
3059523MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dayton Gastroenterology Llc acts as a billing entity for following providers:
Provider NameSayed Khatami
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1306844980
PECOS PAC ID: 7810890159
Enrollment ID: I20040202000620
Provider NameGeoffrey Hahm
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1871543942
PECOS PAC ID: 9830185958
Enrollment ID: I20040423000512
Provider NameRichard Albert Del Rio
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1538189998
PECOS PAC ID: 1557351327
Enrollment ID: I20040513001317
Provider NameKathleen Schaper
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831142272
PECOS PAC ID: 1557343480
Enrollment ID: I20040604000008
Provider NameNevia Dininny
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245222579
PECOS PAC ID: 1456336775
Enrollment ID: I20040621002006
Provider NameRupa R Fritz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1366417560
PECOS PAC ID: 4880665322
Enrollment ID: I20040805001326
Provider NameDavid Curtis Reed
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558357673
PECOS PAC ID: 9032182837
Enrollment ID: I20040819000144
Provider NameKeith A Friedenberg
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1104928043
PECOS PAC ID: 0749177806
Enrollment ID: I20041007000163
Provider NameKevin Groh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851341788
PECOS PAC ID: 3577528587
Enrollment ID: I20041201000233
Provider NameDale K Taylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780668376
PECOS PAC ID: 2567409279
Enrollment ID: I20050414000306
Provider NameMaureen P Tranter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164510749
PECOS PAC ID: 7517996887
Enrollment ID: I20050808000005
Provider NameLisa Michel Stone
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235105875
PECOS PAC ID: 6800826967
Enrollment ID: I20050907000627
Provider NameDiana L Hunter
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1518903376
PECOS PAC ID: 1153349444
Enrollment ID: I20051104000469
Provider NameSyed Ahsan Ali
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1306808902
PECOS PAC ID: 4385657519
Enrollment ID: I20060711000047
Provider NameSara Miller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215911342
PECOS PAC ID: 7517069503
Enrollment ID: I20070221000628
Provider NameSam Nassar
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1669541009
PECOS PAC ID: 7517069016
Enrollment ID: I20070301000680
Provider NameYvonne Dowdy
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1093764755
PECOS PAC ID: 8628055019
Enrollment ID: I20070620000402
Provider NameVasundhara Appalaneni
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1144259953
PECOS PAC ID: 6204839467
Enrollment ID: I20070620000430
Provider NameJohn Ciarlariello
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194749242
PECOS PAC ID: 9638167059
Enrollment ID: I20070717000079
Provider NameDiklar Makola
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1225246689
PECOS PAC ID: 7315033693
Enrollment ID: I20071018000012
Provider NameKelly K Boland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770556391
PECOS PAC ID: 0547352403
Enrollment ID: I20071105000362
Provider NameNancy A Kandrac
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376656348
PECOS PAC ID: 3971687245
Enrollment ID: I20080226000013
Provider NameKevin N Brake
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003867615
PECOS PAC ID: 4183702418
Enrollment ID: I20080425000674
Provider NameMaya Merheb
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1770791204
PECOS PAC ID: 9436220605
Enrollment ID: I20080616000232
Provider NameIlyas Ikramuddin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1457352940
PECOS PAC ID: 7214002161
Enrollment ID: I20080812000720
Provider NameRajeev Mehta
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205907136
PECOS PAC ID: 4385630797
Enrollment ID: I20080826000495
Provider NameSameh S Kamel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1982850368
PECOS PAC ID: 6800955949
Enrollment ID: I20081105000144
Provider NameAngie M Elsheikh
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1366644049
PECOS PAC ID: 8729139613
Enrollment ID: I20090707000171
Provider NameNadia Kaisi
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1831173046
PECOS PAC ID: 8729122296
Enrollment ID: I20100222000482
Provider NameAndrea L Huff
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992035919
PECOS PAC ID: 7214067966
Enrollment ID: I20100607000914
Provider NameZuoliang Xiao
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1104149202
PECOS PAC ID: 0547391625
Enrollment ID: I20100707000096
Provider NameNabil M Fahmy
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1497750822
PECOS PAC ID: 1254326622
Enrollment ID: I20100708000858
Provider NameDavid P Romeo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1558336578
PECOS PAC ID: 9537131057
Enrollment ID: I20100714000026
Provider NameNiaz Usman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1588639777
PECOS PAC ID: 7719959238
Enrollment ID: I20100721000066
Provider NameSanjay Sandhir
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1437124211
PECOS PAC ID: 2163494683
Enrollment ID: I20100727000162
Provider NameJennifer Traska
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427363399
PECOS PAC ID: 5890819353
Enrollment ID: I20100907000074
Provider NameGiti Rostami
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1508831884
PECOS PAC ID: 7719917871
Enrollment ID: I20100914001268
Provider NameJonathan C Saxe
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073588976
PECOS PAC ID: 2264404789
Enrollment ID: I20100914001318
Provider NameFadi Bashour
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1821022708
PECOS PAC ID: 6709896657
Enrollment ID: I20100929000154
Provider NameDavid B Myers
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1780618660
PECOS PAC ID: 4981614831
Enrollment ID: I20101101000982
Provider NameMichael W Gorsky
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1043292923
PECOS PAC ID: 4688579550
Enrollment ID: I20101104000913
Provider NamePiush Gupta
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235114075
PECOS PAC ID: 2466464615
Enrollment ID: I20101104000967
Provider NameBipin K Sharma
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871523225
PECOS PAC ID: 3072523927
Enrollment ID: I20101118000955
Provider NameScott J Arnold
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1073592150
PECOS PAC ID: 4284820010
Enrollment ID: I20101118001440
Provider NameAfreen Moonda
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1437383551
PECOS PAC ID: 2062696867
Enrollment ID: I20110401000486
Provider NameGerald E Marsh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831233691
PECOS PAC ID: 6608052535
Enrollment ID: I20110511000012
Provider NameDaniel E Buxton
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1790999845
PECOS PAC ID: 4385812601
Enrollment ID: I20110712000429
Provider NameRizwan E Kibria
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1730292319
PECOS PAC ID: 6608851035
Enrollment ID: I20110718000468
Provider NameWalid Lababidi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346233608
PECOS PAC ID: 4688653579
Enrollment ID: I20110819000500
Provider NameTerrianne M Basch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770855017
PECOS PAC ID: 0244499531
Enrollment ID: I20120306000417
Provider NamePatrick J Ginley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1174879878
PECOS PAC ID: 2567610728
Enrollment ID: I20120912000604
Provider NameJacqueline M. Junglas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407104227
PECOS PAC ID: 4183875610
Enrollment ID: I20121110000043
Provider NameAlicia E Woo-clark
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1295015550
PECOS PAC ID: 1456505403
Enrollment ID: I20130129000396
Provider NameStacy A Lapish
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164776621
PECOS PAC ID: 1153567532
Enrollment ID: I20130410000302
Provider NameCarrie L Cales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043560683
PECOS PAC ID: 2365688645
Enrollment ID: I20130410000489
Provider NameEllen K Ratay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114260270
PECOS PAC ID: 5799923280
Enrollment ID: I20130522000349
Provider NameMichelle Renee Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700154846
PECOS PAC ID: 5092953802
Enrollment ID: I20130605000656
Provider NamePaul Lutz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306289897
PECOS PAC ID: 7315187119
Enrollment ID: I20130627000647
Provider NameEmily E Carey
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1265656870
PECOS PAC ID: 0042451981
Enrollment ID: I20130718000780
Provider NameMelissa A Grilliot
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1023285921
PECOS PAC ID: 1951544733
Enrollment ID: I20130826001050
Provider NameMaureen Lee Blackstone
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053733865
PECOS PAC ID: 9234368119
Enrollment ID: I20140219000914
Provider NameBen Harley Thomas
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1265670095
PECOS PAC ID: 5092938126
Enrollment ID: I20140725002148
Provider NameTracy M Salazar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366844342
PECOS PAC ID: 6406077643
Enrollment ID: I20141031001448
Provider NameKalyan M Bhoopal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1114160926
PECOS PAC ID: 6901036565
Enrollment ID: I20150512002004
Provider NameColleen Michele Driscoll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972988962
PECOS PAC ID: 8022324391
Enrollment ID: I20150901001786
Provider NameRochelle O'connor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740663152
PECOS PAC ID: 0648570481
Enrollment ID: I20151130000848
Provider NameWhitney Morgen Green Moomaw
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1477882363
PECOS PAC ID: 6305097197
Enrollment ID: I20160602002452
Provider NameBenjamin E Wheeler
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1407171614
PECOS PAC ID: 5799091864
Enrollment ID: I20160809001335
Provider NameAli Marie Acker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174076962
PECOS PAC ID: 1355629049
Enrollment ID: I20161101000619
Provider NameErsie Pouagare
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1063714004
PECOS PAC ID: 4082842521
Enrollment ID: I20161215001106
Provider NameAmy Lee Kinter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649717398
PECOS PAC ID: 4587947684
Enrollment ID: I20170216000134
Provider NameKeyur Parikh
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1700157450
PECOS PAC ID: 0042584419
Enrollment ID: I20171002003114
Provider NameDenaye Hagi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922507540
PECOS PAC ID: 9032471925
Enrollment ID: I20180312001589
Provider NameMichael Timothy Loughlin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1003043647
PECOS PAC ID: 9931345386
Enrollment ID: I20180718000606
Provider NameDrew Triplett
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1255674966
PECOS PAC ID: 2769610435
Enrollment ID: I20190805001362
Provider NameJason L Meyer
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1215129283
PECOS PAC ID: 7618020355
Enrollment ID: I20190913002573
Provider NameHolly Kathleen Zaharewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215586698
PECOS PAC ID: 9032542097
Enrollment ID: I20191204002684
Provider NameRachel A Trotter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184058760
PECOS PAC ID: 6709014335
Enrollment ID: I20191209002451
Provider NameMauricio D Carballo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1508173568
PECOS PAC ID: 6305090564
Enrollment ID: I20200605000732
Provider NameKristina Lynn Lasko
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184221731
PECOS PAC ID: 2860812773
Enrollment ID: I20201014003854
Provider NameLindsey Nicole Elliott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194399766
PECOS PAC ID: 3678977105
Enrollment ID: I20210805002582
Provider NameCarrie A Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629741913
PECOS PAC ID: 6800293721
Enrollment ID: I20210920003287
Provider NameMelissa Lorraine Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407510316
PECOS PAC ID: 4688063381
Enrollment ID: I20211118002166
Provider NameMichelle Lee Patterson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568490688
PECOS PAC ID: 5799682613
Enrollment ID: I20211216002287
Provider NameAmit Kumar Goyal
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1104038405
PECOS PAC ID: 3870685506
Enrollment ID: I20220517000548
Provider NameAzaan S Akbar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285084806
PECOS PAC ID: 3870887375
Enrollment ID: I20220811002208
Provider NameJeri Downey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528714888
PECOS PAC ID: 9638554504
Enrollment ID: I20220913001379
Provider NameIan Kinnaird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215663323
PECOS PAC ID: 3577949981
Enrollment ID: I20221007000446
Provider NameAliye Claire Marine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336718014
PECOS PAC ID: 9133592876
Enrollment ID: I20230228003129
Provider NameRebecca Ann Primiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306538012
PECOS PAC ID: 8022476928
Enrollment ID: I20230626001687
Provider NameAdrian Ramiro Barron
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1164734745
PECOS PAC ID: 4789801887
Enrollment ID: I20230912003762

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.