Active NPI
Michael Fomenky, CNP
- Family Nurse Practitioner
- Delaware, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.18158-NP
- Practice address
- 336 W Wind Rd
Delaware, OH 43015-7737 - Phone
- (000) 000-0000
- NPI assigned
- Sep 26, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.18158-NP | OH | Primary |
Addresses
Primary practice location
336 W Wind Rd
Delaware, OH 43015-7737
Mailing address
336 W Wind Rd
Delaware, OH 43015-7737
Phone (000) 000-0000
Other practice location 1
1 Wyoming St Ste Se3100B
Dayton, OH 45409-2722
Phone (937) 208-8394
Other practice location 2
9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394
Other practice location 3
3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466
Other practice location 4
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394
Other practice location 5
1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 974-2111
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394
1010 Refugee Rd
Pickerington, OH 43147-9653
1030 Refugee Rd
Suite 300
Pickerington, OH 43147-9653
Phone (614) 566-2286
111 S Grant Ave
Columbus, OH 43215-4701
111 S Grant Ave 3Rd FL
Columbus, OH 43215-4701
Phone (614) 566-9184
393 E Town St
Columbus, OH 43215-4799
5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-2058
5154 W Braod St
Suite 150
Columbus, OH 43228-1607
Phone (614) 566-0774
Hospital & facility affiliations
- Grant Medical Center
- Atrium Medical Center
- Doctors Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.18158-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Mvhe Inc | Current | Accepting new patients | |
| Mvhe Inc | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Upper Valley Professional Corporation | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Mvhe Inc | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
1 Wyoming St
Ste SE3100B
Dayton, OH 45409
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
-
- Family Medicine Physician
- Findlay, OH
- NPI 1083665251
-
- Rehabilitation Hospital Unit
- Findlay, OH
- NPI 1578336400
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1699718320
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Hospitalist Physician
- Dayton, OH
- NPI 1356394795
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1972535052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1053781575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 W WIND RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430157737",
"telephone_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W WIND RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430157737",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [
{
"address_1": "1 Wyoming St Ste Se3100B",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 N Main St",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "OH",
"postal_code": "454151180",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3130 N County Road 25A",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453731337",
"country_code": "US",
"telephone_number": "937-440-4466",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Miami Valley Dr",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594774",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450052584",
"country_code": "US",
"telephone_number": "513-974-2111",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOMENKY",
"first_name": "MICHAEL",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-26",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.18158-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.