Active NPI
Dennis Min, D.O.
- Gastroenterology Physician
- Middletown, OH
National Provider Identifier
1104808518
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 207RG0100X
- Practice address
- 1537 South Breiel Boulevard
Middletown, OH 45044-6703 - Phone
- (513) 425-8300
- Fax
- (513) 425-8301
- NPI assigned
- Nov 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 207RG0100X | OH | Primary |
Addresses
Primary practice location
1537 South Breiel Boulevard
Middletown, OH 45044-6703
Mailing address
1537 South Breiel Boulevard
Middletown, OH 45044-6703
Phone (513) 425-8300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043814799 | Other | OH | TAX ID# |
| 2460877 | Medicaid | OH | |
| 000000369974 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207RG0100X | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Medical Center | Past | Accepting new patients | |
| Gcga Physicians Inc. | Gastroenterology | Past | Accepting new patients |
| Wilmington Physicians Group LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Cincinnati, OH
- NPI 1790851095
-
- Family Medicine Physician
- Wilmington, OH
- NPI 1932401411
-
- Multi-Specialty Clinic/Center
- Sterling HTS, MI
- NPI 1033115548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1104808518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 SOUTH BREIEL BOULEVARD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450446703",
"telephone_number": "513-425-8300",
"fax_number": "513-425-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 SOUTH BREIEL BOULEVARD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450446703",
"telephone_number": "513-425-8300",
"fax_number": "513-425-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-20",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "207RG0100X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "043814799",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2460877",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000369974",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.