Individual provider Active NPI

Irina A. Gendler, MD

  • Family Medicine Physician
  • Troy, OH
National Provider Identifier
1114148376
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35089633 Issued in OH
Practice address
998 S Dorset Rd
204
Troy, OH 45373-4753
Phone
(937) 339-9865
Fax
(937) 440-7243
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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 35089633 OH Primary

Addresses

Primary practice location

998 S Dorset Rd
204
Troy, OH 45373-4753

Mailing address

998 S Dorset Rd
204
Troy, OH 45373-4753
Phone (937) 339-9865

Other identifiers 1

IdentifierTypeStateIssuer
2734296MedicaidOH

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
I20070719000086 OH Practitioner - Family Practice 4284735465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians

Practice addresses (Care Compare)

998 S Dorset Rd
Suite 301
Troy, OH 45373-4748
Phone (937) 339-9865

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.89 of 100Reported as group
Quality
83.16
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35089633OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation Family Medicine CurrentSince Jun 1, 2007 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

998 S Dorset Rd
Ste 301
Troy, OH 45373
Phone (937) 339-5441

998 S Dorset Rd
Ste 204
Troy, OH 45373
Phone (937) 332-1165

31 S Stanfield Rd
Ste 201
Troy, OH 45373
Phone (937) 440-7788

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 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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1114148376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 S DORSET RD",
            "address_2": "204",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734753",
            "telephone_number": "937-339-9865",
            "fax_number": "937-440-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 S DORSET RD",
            "address_2": "204",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734753",
            "telephone_number": "937-339-9865",
            "fax_number": "937-440-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDLER",
        "first_name": "IRINA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35089633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2734296",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.