Individual provider Active NPI

Michael Timothy Loughlin, D.O.

  • Gastroenterology Physician
  • Beavercreek, OH
National Provider Identifier
1003043647
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34.013224 Issued in OH
Practice address
75 Sylvania Dr
Beavercreek, OH 45440
Phone
(937) 320-5050
Fax
(937) 320-5060
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34.013224 OH Primary

Addresses

Primary practice location

75 Sylvania Dr
Beavercreek, OH 45440

Mailing address

One Gi Credentialing Department
PO Box 381468
Germantown, TN 38183-3237

Other practice location 1

9000 N Main St Ste 405
Englewood, OH 45415-1170
Phone (937) 320-5050

Other practice location 2

4200 Indian Ripple Rd
Dayton, OH 45440-3248
Phone (937) 320-5050

Other practice location 3

415 Byers Rd Ste 100
Miamisburg, OH 45342-3684
Phone (937) 320-5050

Other identifiers 1

IdentifierTypeStateIssuer
0267665MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180718000606 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 9931345386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Dayton Gastroenterology, LLCGroup PAC ID 9537064407, 74 clinicians

Practice addresses (Care Compare)

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

75 Sylvania Dr
Dayton, OH 45440-3237
Phone (937) 320-5050

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Gastroenterology LLC Gastroenterology CurrentSince Jul 1, 2018 Accepting new patients

Locations

Dayton Gastro Govt Ar Hc
New York, NY 10087

4200 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 320-5050

75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

415 Byers Rd
Ste 100
Miamisburg, OH 45342
Phone (937) 320-5050

Networks

  • OH PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Interoperability endpoints

  • FHIR API: https://5e3884cf-4770-450d-af77-2043acaa1ebe.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1003043647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GI CREDENTIALING DEPARTMENT",
            "address_2": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381833237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVANIA DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45440",
            "telephone_number": "937-320-5050",
            "fax_number": "937-320-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151170",
            "country_code": "US",
            "telephone_number": "937-320-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Indian Ripple Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454403248",
            "country_code": "US",
            "telephone_number": "937-320-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Byers Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423684",
            "country_code": "US",
            "telephone_number": "937-320-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGHLIN",
        "first_name": "MICHAEL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34.013224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.