Active NPI
Michael Noller, MD
- Otolaryngology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35.153431
- Practice address
- 4881 Sugar Maple Dr
Dayton, OH 45433-5529 - Phone
- (937) 522-2778
- NPI assigned
- Mar 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01092986A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 35.153431 | OH | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Mailing address
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Other practice location 1
8901 Rockville Pike
Bethesda, MD 20889-0001
Phone (210) 422-8926
Other practice location 2
5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mnoller@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, IN, OH, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1222 S Patterson Blvd
Suite 400
Dayton, OH 45402-2642
Phone 9374962620437
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
701 E Rosser Ave
Bismarck, ND 58501-4457
Phone (701) 323-6815
Hospital & facility affiliations
- Sanford Medical Center Bismarck
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.153431 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indiana ENT, LLC | Otolaryngology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Southwest Ohio ENT Specialists Inc | Otolaryngology | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Otolaryngology | Current | Accepting new patients |
| Arnett Clinic, LLC | Otolaryngology | Current | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
1655 N Gladstone Ave
Ste E
Columbus, IN 47201
Phone (812) 376-3071
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448
2600 Greenbush St
Lafayette, IN 47904
1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600
2000 Foundation Way
Ste 3200
Martinsburg, WV 25401
Phone (304) 262-9400
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- mnoller@direct.iuhealth.org
- https://fhir4.healow.com/fhir/r4/HDIFCD
- mnoller487106@reidhealth.direct-ci.com
- https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4
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.
-
- Otolaryngology Physician
- Dayton, OH
- NPI 1255301560
-
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
-
- Otolaryngology Physician
- Columbus, IN
- NPI 1013030618
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Otolaryngology
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1043712359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-522-2778"
}
],
"practiceLocations": [
{
"address_1": "8901 Rockville Pike",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208890001",
"country_code": "US",
"telephone_number": "210-422-8926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5165 McCarty Ln",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479058764",
"country_code": "US",
"telephone_number": "765-448-8000",
"fax_number": "765-448-7625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLLER",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01092986A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35.153431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnoller@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5165 McCarty Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.