Active NPI
Michael Patrick Conroy, MD
- Dermatology Physician
- Dublin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35091436
- Practice address
- 5775 Perimeter Dr Ste 200
Dublin, OH 43017-3224 - Phone
- (614) 845-0418
- Fax
- (614) 389-3841
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 35091436 | OH | |
| Dermatology Physician | 207N00000X | 35091436 | OH | Primary |
Addresses
Primary practice location
5775 Perimeter Dr Ste 200
Dublin, OH 43017-3224
Mailing address
2200 Timber TRL
Bellefontaine, OH 43311-9039
Phone (937) 595-0100
Other practice location 1
2200 Timber Trl
Bellefontaine, OH 43311-9039
Phone (937) 595-0100
Other practice location 2
812 Redskin Trl Ste D
Wapakoneta, OH 45895-8545
Phone (419) 549-5607
Other practice location 3
54 W High St Ste C
London, OH 43140-1093
Phone (740) 837-4334
Other practice location 4
3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3069307 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mconroy354594@direct.ohiohealth.com | OhioHealth Corporation | |
| Direct Messaging Address | mpconroy@ohioderm.emadirect.md | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Timber TRL
Bellefontaine, OH 43311-9039
Phone (937) 595-0100
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 315 |
| Removal of skin lesions | 691 |
| Skin biopsy | 476 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35091436 | OH | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioderm Holding Inc. | Current | Accepting new patients | |
| Ohioderm Holding Inc. | Dermatology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
2200 Timber Trl
Bellefontaine, OH 43311
Phone (937) 593-0822
5775 Perimeter Dr
Ste 200
Dublin, OH 43017
Phone (614) 845-0418
54 W High St
Ste C
London, OH 43140
Phone (740) 837-4334
812 Redskin Trl
Ste D
Wapakoneta, OH 45895
Networks
- OH PPO
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- KY PPO C-SNP
- KY PPO
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
Interoperability endpoints
- mpconroy@ohioderm.emadirect.md
- michael.conroy.1@19221.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Dermatopathology Physician
- Dublin, OH
- NPI 1174206791
-
- Dermatology Physician
- Dublin, OH
- NPI 1265297899
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1003891052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 TIMBER TRL",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119039",
"telephone_number": "937-595-0100",
"fax_number": "937-518-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 PERIMETER DR STE 200",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173224",
"telephone_number": "614-845-0418",
"fax_number": "614-389-3841"
}
],
"practiceLocations": [
{
"address_1": "2200 Timber Trl",
"address_purpose": "LOCATION",
"city": "Bellefontaine",
"state": "OH",
"postal_code": "433119039",
"country_code": "US",
"telephone_number": "937-595-0100",
"fax_number": "937-518-7770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "812 Redskin Trl Ste D",
"address_purpose": "LOCATION",
"city": "Wapakoneta",
"state": "OH",
"postal_code": "458958545",
"country_code": "US",
"telephone_number": "419-549-5607",
"fax_number": "419-754-2523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "54 W High St Ste C",
"address_purpose": "LOCATION",
"city": "London",
"state": "OH",
"postal_code": "431401093",
"country_code": "US",
"telephone_number": "740-837-4334",
"fax_number": "740-422-0777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3595 Olentangy River Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143440",
"country_code": "US",
"telephone_number": "614-566-5456",
"fax_number": "614-566-6902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONROY",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "OH",
"license": "35091436",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35091436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3069307",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mconroy354594@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Corporation",
"address_1": "3595 Olentangy River Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143440",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpconroy@ohioderm.emadirect.md",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5775 Perimeter Dr Ste 200",
"city": "Dublin",
"state": "OH",
"country_code": "US",
"postal_code": "430173224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.