NPIMap

Individual provider Active NPI

Michael Robert Maher, DPM

  • Podiatrist
  • Greenville, OH
National Provider Identifier
1114928355
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-3109M Issued in OH
Practice address
415 W Russ Rd
Greenville, OH 45331-2457
Phone
(937) 548-1244
Fax
(937) 548-8898
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-00-3109M OH Primary

Addresses

Primary practice location

415 W Russ Rd
Greenville, OH 45331-2457

Mailing address

415 W Russ Rd
Greenville, OH 45331-2457
Phone (937) 548-1244

Other identifiers 1

IdentifierTypeStateIssuer
2197304MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100706000006 OH Practitioner - Podiatry 4183644123 Reassigns benefits to 1 organization
I20151110000324 IN Practitioner - Podiatry 4183644123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Ohio Podiatric Medical Center IncGroup PAC ID 2466472402, 4 clinicians

Practice addresses (Care Compare)

415 W Russ Rd
Greenville, OH 45331-2457
Phone (937) 548-1244

Hospital & facility affiliations

  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
30.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of nail tissue1995
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Ohio Podiatric Medical Center Inc Podiatrist CurrentSince Jan 1, 2000 Accepting new patients
Dayton Interventional Radiology LLC PastSince Jan 1, 2000 Accepting new patients

Locations

415 W Russ Rd
Greenville, OH 45331
Phone (937) 548-1224

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/89qRxg50XNEvJ1rMzQ6E1GUFVYLjKcWl/

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Health Services of Darke County, Inc.Versailles, OH, CCN 361959 Federally qualified health center Corporate Director Jul 31, 2017
Family HealthGreenville, OH, CCN 361840 Federally qualified health center Corporate Director Oct 20, 2009
Family HealthArcanum, OH, CCN 361903 Federally qualified health center Corporate Director Oct 20, 2009
Family HealthNew Madison, OH, CCN 361056 Federally qualified health center Corporate Director Oct 28, 2002
Family Health Services of Darke County, Inc.New Madison, OH, CCN D21018 Federally qualified health center Corporate Director Jul 31, 2017
Family Health Services of Darke County, Inc.Ansonia, OH, CCN D21027 Federally qualified health center Corporate Director Jul 31, 2017
Family Health Services of Darke County, Inc.Union City, OH, CCN D21028 Federally qualified health center Corporate Director Jul 31, 2017
Family Health Services of Darke County, Inc.Arcanum, OH, CCN D21031 Federally qualified health center Corporate Director Jul 31, 2017
Family Health Services of Darke County, Inc.Greenville, OH, CCN D21048 Federally qualified health center Corporate Director Jul 31, 2017

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1114928355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W RUSS RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312457",
            "telephone_number": "937-548-1244",
            "fax_number": "937-548-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W RUSS RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312457",
            "telephone_number": "937-548-1244",
            "fax_number": "937-548-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-3109M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197304",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.