Individual provider Active NPI

Wilfredo J. Suntay, D.O.

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1043293962
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35060771S Issued in OH
Practice address
3535 Southern Blvd
Dayton, OH 45429-1221
Phone
(937) 395-8627
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35060771S OH Primary

Addresses

Primary practice location

3535 Southern Blvd
Dayton, OH 45429-1221

Mailing address

L-3402
Columbus, OH 43260-0001
Phone (814) 444-1919

Other identifiers 1

IdentifierTypeStateIssuer
0827430MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040928001247 OH Practitioner - Diagnostic Radiology 4082683867 Reassigns benefits to 3 organizations
I20220105000751 IN Practitioner - Diagnostic Radiology 4082683867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

101 E Alex Bell Rd
Suite 190
Centerville, OH 45459-2752
Phone (937) 425-4020

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2060

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

1977 Miamisburg Centerville Rd
Dayton, OH 45459-3811
Phone (937) 439-6000

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8627

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 296-7227

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5136

5095 University Park Blvd
Oxford, OH 45056-9384
Phone (513) 523-2340

600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7000

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

825 N Main St
Suite 140
Springboro, OH 45066-2100
Phone (937) 762-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35060771SOHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Dec 18, 2010 Accepting new patients
DRS. Chase & Robinson Inc. Diagnostic Radiology Past Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Vital Scan of Central Ohio Past Accepting new patients
Kettering Medical Center Past Accepting new patients
Medical Imaging Physicians Inc Diagnostic Radiology Past Accepting new patients
Midstates Radiology Consultants Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

L3402
Columbus, OH 43260
Phone (814) 444-1919

L 3402
Columbus, OH 43260

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

7901 Schatz Pointe Dr
Dayton, OH 45459
Phone (937) 226-7898

450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306

1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062

1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644

100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700

909 E 2nd St
Ste C
Franklin, OH 45005

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309

580 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (513) 299-0099

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3700 Southern Blvd
Ste 106
Kettering, OH 45429
Phone (937) 281-3840

540 Lincoln Park Blvd
Ste 100
Kettering, OH 45429
Phone (937) 299-0900

1470 N Broadway St
Lebanon, OH 45036
Phone (937) 228-0990

415 Byers Rd
Ste 300
Miamisburg, OH 45342
Phone (937) 866-2494

Organizations & group practices 8

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 5

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1043293962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L-3402",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "814-444-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-395-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNTAY",
        "first_name": "WILFREDO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35060771S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827430",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.