Michael Alan Buch, D.O.

Individual provider Active NPI Family Medicine Physician · Springboro, OH

NPI 1154625564 · NPPES record last updated Nov 23, 2020

Key facts

NPI
1154625564
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
34.010416 (OH)
Practice address
825 N. Main St.
Suite 140
Springboro, OH 45066
Phone
(937) 762-5000
Fax
(937) 762-5099
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians Inc (314 clinicians)

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

825 N Main St
Springboro, OH 45066-2100

Hospital & facility affiliations

  • Kettering Homecare Home health agency · Kettering, OH · CCN 367778
  • Kettering Health Miamisburg Hospital · Miamisburg, OH · CCN 360239
  • Kettering Health Dayton Hospital · Dayton, OH · CCN 360133
  • Kettering Health Main Campus Hospital · Kettering, OH · CCN 360079

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120424000034 OH Practitioner - Family Practice 7517129315 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.010416OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine Current
since Sep 16, 2013
Accepting new patients
Alliance Physicians Inc Family Medicine Current
since Sep 16, 2013
Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

2115 Leiter Rd
Ste 300
Miamisburg, OH 45342

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 140
Springboro, OH 45066
Phone (937) 762-5000

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.010416 OH Yes

Addresses

Primary practice location

825 N. Main St.
Suite 140
Springboro, OH 45066

Mailing address

825 N. Main St.
Suite 140
Springboro, OH 45066
Phone (937) 762-5000

Other identifiers

IdentifierTypeStateIssuer
0062487MedicaidOH

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mbuch441754@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Other providers in Springboro, OH

All providers in Springboro, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.