NPIMap

Individual provider Active NPI

Troy Alan Tyner, D.O.,F.A.C.O.I.

  • Internal Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1003814526
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34004819T Issued in OH
Practice address
2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820
Phone
(937) 429-0607
Fax
(937) 558-3067
NPI assigned
Jul 8, 2005
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34004819T OH Primary

Addresses

Primary practice location

2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820

Mailing address

2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820
Phone (937) 429-0607

Other identifiers 5

IdentifierTypeStateIssuer
0855678MedicaidOH
000000016541OtherOHANTHEM
110066031OtherOHRR MEDICARE
2128988OtherOHAETNA
311346460028OtherOHCARESOURCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610001083 OH Practitioner - Internal Medicine 5890686497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Care, IncGroup PAC ID 8527959113, 8 clinicians

Practice addresses (Care Compare)

2633 Commons Blvd
Suite 120
Beavercreek, OH 45431-3827
Phone (937) 429-0607

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as individual
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
70.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34004819TOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Care, Inc Internal Medicine Current Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2000 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2000 Accepting new patients
Internal Medicine Care, Inc Internal Medicine CurrentSince May 17, 1999 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Family Medicine Care, LLC PastSince Apr 1, 1992 Accepting new patients
Family Medicine Care, LLC Past Accepting new patients

Locations

2358 Lakeview Dr
Ste A
Beavercreek, OH 45431
Phone (937) 222-5921

2510 Commons Blvd
Ste 210
Beavercreek, OH 45431
Phone (937) 558-3062

2633 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 427-7540

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

1989 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (513) 434-7353

1989 Miamisburg Centerville Rd
Ste 304
Dayton, OH 45459
Phone (937) 223-6837

Interoperability endpoints

  • Direct secure messaging: troy.tyner.1@442.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kettering Health HamiltonHamilton, OH, CCN 360132 Hospital Corporate Director Jan 31, 2024
Kettering Health Greene MemorialXenia, OH, CCN 360026 Hospital Corporate Director Jan 31, 2024
Kettering Health DaytonDayton, OH, CCN 360133 Hospital Corporate Director Jan 31, 2024
Kettering Health MiamisburgMiamisburg, OH, CCN 360239 Hospital Corporate Director Jan 31, 2024
Soin Medical CenterBeavercreek, OH, CCN 360360 Hospital Corporate Director Jan 31, 2024
Kettering Health TroyTroy, OH, CCN 360368 Hospital Corporate Director Jan 31, 2024
KH Hamilton Inpatient Rehab UnitHamilton, OH, CCN 36T132 Hospital Corporate Director Jan 31, 2024
Kettering Health Primary Care, a Service of Kettering Health Greene MeYellow Springs, OH, CCN 363401 Rural health clinic Corporate Director May 1, 2021
Kettering Health Primary Care, a Service of Kettering Health Greene MeCedarville, OH, CCN 363400 Rural health clinic Corporate Director May 1, 2021
Kettering Health Primary Care, a Service of Kettering Health Greene MeJamestown, OH, CCN 363428 Rural health clinic Corporate Director Jan 31, 2024
Kettering Health Primary Care, a Service of Soin Medical CenterWilmington, OH, CCN 363438 Rural health clinic Corporate Director May 1, 2021

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1003814526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD",
            "address_2": "SUITE 210",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313820",
            "telephone_number": "937-429-0607",
            "fax_number": "937-558-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD",
            "address_2": "SUITE 210",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313820",
            "telephone_number": "937-429-0607",
            "fax_number": "937-558-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNER",
        "first_name": "TROY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.,F.A.C.O.I.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34004819T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855678",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000016541",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110066031",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2128988",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311346460028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.