Individual provider Active NPI

Andreas Herbert Syllaba, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Loveland, OH
National Provider Identifier
1063500932
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
SL302205 Issued in OH
Practice address
1301 Mattec Dr
Loveland, OH 45140-7300
Phone
(513) 454-7246
Fax
(513) 438-0202
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X SL302205 OH Primary

Addresses

Primary practice location

1301 Mattec Dr
Loveland, OH 45140-7300

Mailing address

PO Box 330
Loveland, OH 45140-0330
Phone (513) 454-7246

Other practice location 1

111 Vandament Way
Mount Orab, OH 45154-8311
Phone (513) 454-7246

Other practice location 2

1121 Northview Dr
Hillsboro, OH 45133-6316
Phone (513) 454-7246

Other identifiers 1

IdentifierTypeStateIssuer
2259701MedicaidOH

Other names 1

  • Dr. Andreas Herbert Szokoloczy-Syllaba Professional name

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
I20051107000442 OH Practitioner - General Practice 2769400985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Evaluation and Management Center of Ohio IncGroup PAC ID 2365475480, 11 clinicians

Practice addresses (Care Compare)

1550 Yankee Park PL
Suite a
Centerville, OH 45458-1838
Phone (937) 439-4949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.27 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SL302205OHMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Occupational Health Clinics, LLC CurrentSince Jun 25, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dayton Pain and Preventive Medicine Past Accepting new patients

Locations

2816 W 1st St
Springfield, OH 45504
Phone (937) 322-8977

1835 E High St
Ste 2
Springfield, OH 45505
Phone (937) 322-8977

Organizations & group practices 4

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 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1063500932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451400330",
            "telephone_number": "513-454-7246",
            "fax_number": "513-438-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MATTEC DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451407300",
            "telephone_number": "513-454-7246",
            "fax_number": "513-438-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Vandament Way",
            "address_purpose": "LOCATION",
            "city": "Mount Orab",
            "state": "OH",
            "postal_code": "451548311",
            "country_code": "US",
            "telephone_number": "513-454-7246",
            "fax_number": "513-438-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451336316",
            "country_code": "US",
            "telephone_number": "513-454-7246",
            "fax_number": "513-438-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYLLABA",
        "first_name": "ANDREAS",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OH",
            "license": "SL302205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2259701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREAS",
            "last_name": "SZOKOLOCZY-SYLLABA",
            "middle_name": "HERBERT",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.