Individual provider Active NPI

Michael Patrick Conroy, MD

  • Dermatology Physician
  • Dublin, OH
National Provider Identifier
1003891052
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35091436 Issued in OH
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

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3069307MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000132 OH Practitioner - Dermatology 3173573516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohioderm Holding IncGroup PAC ID 3971950825, 6 clinicians

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision315
Removal of skin lesions691
Skin biopsy476

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35091436OHMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioderm Holding Inc. CurrentSince Jun 12, 2023 Accepting new patients
Ohioderm Holding Inc. Dermatology CurrentSince Sep 23, 2024 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

  • Direct secure messaging: mpconroy@ohioderm.emadirect.md
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.