Individual provider Active NPI

John F McCarthy, MD

  • Family Medicine Physician
  • Centerville, OH
National Provider Identifier
1063479947
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3505579M Issued in OH
Practice address
220 E Spring Valley Pike
Centerville, OH 45458-2653
Phone
(937) 436-3117
Fax
(937) 436-0730
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3505579M OH Primary

Addresses

Primary practice location

220 E Spring Valley Pike
Centerville, OH 45458-2653

Mailing address

220 Spring Valley Road
Centerville, OH 45458-2653
Phone (937) 436-3117

Other identifiers 1

IdentifierTypeStateIssuer
0669343MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmccarthy180462@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000124 OH Practitioner - Family Practice 0244365195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

540 Lincoln Park Blvd
Suite 200
Kettering, OH 45429-6403
Phone (937) 293-1117

68 Darst Rd
Beavercreek, OH 45440-3442
Phone (937) 531-0132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3505579MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Apr 1, 2016 Accepting new patients

Locations

1023 S Main St
Ste 200
Centerville, OH 45458
Phone (937) 429-7350

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

220 E Spring Valley Pike
Dayton, OH 45458
Phone (937) 436-3117

540 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (937) 293-1117

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1063479947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SPRING VALLEY ROAD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582653",
            "telephone_number": "937-436-3117",
            "fax_number": "937-436-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E SPRING VALLEY PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582653",
            "telephone_number": "937-436-3117",
            "fax_number": "937-436-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3505579M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0669343",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccarthy180462@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "220 E Spring Valley Pike",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454582653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "220 E Spring Valley Pike",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454582653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.