Active NPI
Dayton Internal Medicine Clinic, Inc.
- Internal Medicine Physician
- Dayton, OH
National Provider Identifier
1033322334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35078825N
- Legal business name
- DAYTON INTERNAL MEDICINE CLINIC, INC.
- Practice address
- 1735 Big Hill Rd
Dayton, OH 45439-2201 - Phone
- (937) 224-4325
- Fax
- (937) 224-4327
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ugo O Nwokoro, M.D.
- Title
- Physician
- Phone
- (937) 224-4325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35078825N | OH | Primary |
Addresses
Primary practice location
1735 Big Hill Rd
Dayton, OH 45439-2201
Mailing address
1735 Big Hill Rd
Dayton, OH 45439-2201
Phone (937) 224-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2244897 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1039035 | Dayton Internal Medicine Clinic | Certificate of waiver | Apr 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1 Elizabeth Pl
Ste 260
Dayton, OH 45417
Phone (937) 224-4325
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGFAD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Troy, OH
- NPI 1770095382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1033322334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 BIG HILL RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454392201",
"telephone_number": "937-224-4325",
"fax_number": "937-224-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 BIG HILL RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454392201",
"telephone_number": "937-224-4325",
"fax_number": "937-224-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTON INTERNAL MEDICINE CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2024-03-18",
"certification_date": "2023-05-01",
"status": "A",
"authorized_official_last_name": "NWOKORO",
"authorized_official_first_name": "UGO",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "937-224-4325",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35078825N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2244897",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
- Dayton Head and Neck Surgeons
- Dayton Health & Rehab Center, LLC
- Dayton Health Care, Inc.
- Dayton Home Care Services, LLC
- Dayton Hospitalist Group, LLC
- Dayton Interventional Radiology Vein Clinic, LLC
- Dayton Medical Massage, LLC
- Dayton Neurologic Associates LLC
- Dayton Newborn Care Specialists, Inc.
- Dayton Nursing & Rehabilitation Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.