Active NPI
Michael Wen, DO
- Pediatrics Physician
- Miamisburg, OH
National Provider Identifier
1063099158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34.016866
- Practice address
- 3333 W Tech Rd
Miamisburg, OH 45342-0955 - Phone
- (937) 641-5725
- Fax
- (937) 350-3050
- NPI assigned
- Mar 25, 2021
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34.016866 | OH | Primary |
Addresses
Primary practice location
3333 W Tech Rd
Miamisburg, OH 45342-0955
Mailing address
PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-5072
Other practice location 1
1711 Germantown Pike
Dayton, OH 45417
Phone (937) 641-3142
Other practice location 2
1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3433 ext. 1
Other practice location 3
8501 Old Troy Pike Ste 120
Huber Heights, OH 45424-1061
Phone (937) 641-4360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0444112 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatry Physician
- Dayton, OH
- NPI 1952480030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1063099158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933421",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-5072",
"fax_number": "937-641-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W TECH RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453420955",
"telephone_number": "937-641-5725",
"fax_number": "937-350-3050"
}
],
"practiceLocations": [
{
"address_1": "1711 Germantown Pike",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "45417",
"country_code": "US",
"telephone_number": "937-641-3142",
"fax_number": "937-641-4172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041815",
"country_code": "US",
"telephone_number": "937-641-3433 x1",
"fax_number": "937-641-5941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8501 Old Troy Pike Ste 120",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241061",
"country_code": "US",
"telephone_number": "937-641-4360",
"fax_number": "937-641-3791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEN",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34.016866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0444112",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.