Individual provider Active NPI

Ivy Dang, DO

  • Family Medicine Physician
  • Liberty Township, OH
National Provider Identifier
1033799374
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.016736 Issued in OH
Practice address
6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595
Phone
(513) 564-6800
Fax
(513) 564-6815
NPI assigned
Apr 12, 2021
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
Family Medicine Physician 207Q00000X 34.016736 OH Primary

Addresses

Primary practice location

6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595

Mailing address

6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595
Phone (513) 564-6800

Other identifiers 2

IdentifierTypeStateIssuer
7101011780MedicaidKY
0444872MedicaidOH

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
I20231004003156 OH Practitioner - Family Practice 2264831734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

6939 Cox Rd
Liberty Township, OH 45069-7595
Phone (513) 648-7975

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer County Joint Township Community Hospital CurrentSince Sep 20, 2023 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Sep 20, 2023 Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Christ Hospital Medical Specialists LLC PastSince Nov 17, 2024 Accepting new patients

Locations

950 S Main St
Celina, OH 45822
Phone (419) 586-1611

2139 Auburn Ave
#47
Cincinnati, OH 45219

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

6939 Cox Rd
Ste 360
Liberty Township, OH 45069
Phone (513) 564-6800

7335 Yankee Rd
Ste 202
Liberty Township, OH 45044
Phone (513) 564-6800

7335 Yankee Rd
Ste 203
Liberty Township, OH 45044
Phone (513) 579-9191

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

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 1

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1033799374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 COX RD STE 360",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-564-6800",
            "fax_number": "513-564-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 COX RD STE 360",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-564-6800",
            "fax_number": "513-564-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "IVY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101011780",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444872",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.