Active NPI
Matthew Lyle Nyholm, M.D.
- Emergency Medicine Physician
- Dayton, OH
National Provider Identifier
1134564743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.126991
- Practice address
- 2345 Philadelphia Dr
Dayton, OH 45406-1816 - Phone
- (937) 734-4141
- NPI assigned
- May 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.126991 | OH | Primary |
| Family Medicine Physician | 207Q00000X | 35.126991 | OH |
Addresses
Primary practice location
2345 Philadelphia Dr
Dayton, OH 45406-1816
Mailing address
910 Watermill Place
Marysville, OH 43040
Phone (734) 771-3491
Other practice location 1
601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Drexel University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 W 18TH St
Hopkinsville, KY 44240-1965
Phone (505) 287-4446
Hospital & facility affiliations
- Springfield Regional Medical Center
- Jennie Stuart Medical Center
- Marion General Hospital
- Mercy Health - Urbana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.126991 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Champaign County LTD | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Fep of Kentucky LLC | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
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.
-
- Emergency Medicine Physician
- Hopkinsville, KY
- NPI 1770266553
-
- Emergency Medicine Physician
- Springfield, OH
- NPI 1285078220
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Urbana, OH
- NPI 1144286352
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
- General Acute Care Hospital
- Marion, OH
- NPI 1215935366
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1134564743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 WATERMILL PLACE",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "43040",
"telephone_number": "734-771-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061816",
"telephone_number": "937-734-4141"
}
],
"practiceLocations": [
{
"address_1": "601 State Route 664 N",
"address_purpose": "LOCATION",
"city": "Logan",
"state": "OH",
"postal_code": "431388541",
"country_code": "US",
"telephone_number": "740-380-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYHOLM",
"first_name": "MATTHEW",
"middle_name": "LYLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-09",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.126991",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.126991",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.