Individual provider Active NPI

Verena Gerguis, PA-C

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1124606629
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.010090RX Issued in OH
Practice address
1530 Needmore Rd Ste 300
Dayton, OH 45414-3980
Phone
(937) 277-4274
Fax
(937) 641-2655
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.010090RX OH Primary

Addresses

Primary practice location

1530 Needmore Rd Ste 300
Dayton, OH 45414-3980

Mailing address

1530 Needmore Rd Ste 300
Dayton, OH 45414-3980

Other practice location 1

2400 Lakeview Dr Ste 230
Beavercreek, OH 45431-2581
Phone (937) 320-0630

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227001623 OH Practitioner - Physician Assistant 9335620251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1530 Needmore Rd
Suite 300
Dayton, OH 45414-3980
Phone (937) 277-4274

2400 Lakeview Dr
Beavercreek, OH 45431-2581

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.010090RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Physician Assistant CurrentSince Apr 1, 2026 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 1, 2026 Accepting new patients

Locations

2400 Lakeview Dr
Ste 230
Beavercreek, OH 45431
Phone (937) 320-0630

1530 Needmore Rd
Ste 300
Dayton, OH 45414
Phone (937) 208-6745

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1124606629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 NEEDMORE RD STE 300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 NEEDMORE RD STE 300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143980",
            "telephone_number": "937-277-4274",
            "fax_number": "937-641-2655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Lakeview Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454312581",
            "country_code": "US",
            "telephone_number": "937-320-0630",
            "fax_number": "937-320-0633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERGUIS",
        "first_name": "VERENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010090RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.