Individual provider Active NPI

Amy M Byerly, DO

  • Obstetrics & Gynecology Physician
  • Centerville, OH
National Provider Identifier
1023094091
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34007414 Issued in OH
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

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34007414BOtherOHMEDICAL LICENSE
421534506070OtherOHCARESOURCE
000000290784OtherOHUNICARE
P00047033OtherOHRAILROAD MEDICARE
0704300OtherOHUNITED HEALTH CARE
2205492MedicaidOH
7700448OtherOHAETNA
D0741403OtherOHHUMANA/CHOICECARE
000000290784OtherOHANTHEM
D0741402OtherOHHUMANA/CHOICECARE

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000853 OH Practitioner - Obstetrics/Gynecology 3173514486 Reassigns benefits to 2 organizations

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
Dayton Osteopathic HospitalGroup PAC ID 7618878877, 34 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
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

LicenseStateTypeSpecialty
34007414OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
Dayton Osteopathic Hospital CurrentSince May 5, 2008 Accepting new patients
Dayton Osteopathic Hospital CurrentSince May 5, 2008 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.