Individual provider Active NPI

Michael Noller, MD

  • Otolaryngology Physician
  • Dayton, OH
National Provider Identifier
1043712359
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35.153431 Issued in OH
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

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address mnoller@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, IN, OH, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240227002181 WV Practitioner - Otolaryngology 5991159501 Reassigns benefits to 1 organization
I20240322002130 IN Practitioner - Otolaryngology 5991159501 Reassigns benefits to 2 organizations
I20250925004572 OH Practitioner - Otolaryngology 5991159501 Reassigns benefits to 1 organization
I20260617001167 ND Practitioner - Otolaryngology 5991159501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Ohio ENT Specialists IncGroup PAC ID 2163403098, 42 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

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 Hospital, Bismarck, ND, CCN 350015

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
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

LicenseStateTypeSpecialty
35.153431OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana ENT, LLC Otolaryngology CurrentSince Dec 12, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 26, 2024 Accepting new patients
Southwest Ohio ENT Specialists Inc Otolaryngology CurrentSince Oct 1, 2025 Accepting new patients
Arnett Clinic, LLC CurrentSince Apr 1, 2024 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
West Virginia University Medical Corporation Otolaryngology CurrentSince Feb 26, 2024 Accepting new patients
Arnett Clinic, LLC Otolaryngology CurrentSince Apr 1, 2024 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

  • Direct secure messaging: mnoller@direct.iuhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD
  • Direct secure messaging: mnoller487106@reidhealth.direct-ci.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.