Active NPI
Amy M Byerly, DO
- Obstetrics & Gynecology Physician
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34007414
- Practice address
- 7740 Washington Village Dr Ste 100
Centerville, OH 45459-3994 - Phone
- (379) 433-4325
- Fax
- (937) 439-7445
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34007414 | OH | Primary |
Addresses
Primary practice location
7740 Washington Village Dr Ste 100
Centerville, OH 45459-3994
Mailing address
7740 Washngton VLG Dr
Suite 100
Centerville, OH 45459-4056
Phone (937) 531-7900
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34007414B | Other | OH | MEDICAL LICENSE |
| 421534506070 | Other | OH | CARESOURCE |
| 000000290784 | Other | OH | UNICARE |
| P00047033 | Other | OH | RAILROAD MEDICARE |
| 0704300 | Other | OH | UNITED HEALTH CARE |
| 2205492 | Medicaid | OH | |
| 7700448 | Other | OH | AETNA |
| D0741403 | Other | OH | HUMANA/CHOICECARE |
| 000000290784 | Other | OH | ANTHEM |
| D0741402 | Other | OH | HUMANA/CHOICECARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abyerly165662@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
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
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 Edwin C Moses Blvd
Cassano Comm HLTH CT
Dayton, OH 45407
Phone (937) 396-8150
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
7740 Washington Village Dr
Suite 100
Centerville, OH 45459-3994
Phone (937) 433-4325
7740 Washngton VLG Dr
Suite 110
Dayton, OH 45459-3994
Phone (937) 439-4145
8701 Old Troy Pike
Suite 30
Huber Heights, OH 45424-1065
Phone (937) 433-4325
Hospital & facility affiliations
- Kettering Health Dayton
- Kettering Health Main Campus
- Kettering Health Miamisburg
- Soin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007414 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Dayton Osteopathic Hospital | Current | Accepting new patients | |
| Dayton Osteopathic Hospital | Current | Accepting new patients | |
| Dayton Osteopathic Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2510 Commons Blvd
Ste 230
Beavercreek, OH 45431
Phone (937) 429-2139
1989 Miamisburg Centerville Rd
Ste 204
Dayton, OH 45459
Phone (937) 384-6822
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
7740 Washington Village Dr
Ste 100
Dayton, OH 45459
Phone (937) 433-4325
165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150
8701 Old Troy Pike
Ste 30
Huber Heights, OH 45424
Phone (937) 237-0153
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
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.
-
- Multi-Specialty Clinic/Center
- Dayton, OH
- NPI 1588630347
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Obstetrics & Gynecology
-
- Specialty Pharmacy
- Kettering, OH
- NPI 1629511688
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1023094091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7740 WASHNGTON VLG DR",
"address_2": "SUITE 100",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594056",
"telephone_number": "937-531-7900",
"fax_number": "937-531-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7740 WASHINGTON VILLAGE DR STE 100",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593994",
"telephone_number": "379-433-4325",
"fax_number": "937-439-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYERLY",
"first_name": "AMY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34007414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "34007414B",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "421534506070",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000290784",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00047033",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0704300",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2205492",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7700448",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICECARE",
"identifier": "D0741403",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000290784",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICECARE",
"identifier": "D0741402",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abyerly165662@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "7740 Washington Village Dr",
"address_2": "Suite 100",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454593953",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "7740 Washington Village Dr",
"address_2": "Suite 100",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454593953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.