Individual provider Active NPI

Steve M Friday

  • Podiatrist
  • Xenia, OH
National Provider Identifier
1164579439
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-002451 Issued in OH
Practice address
1182 N Monroe Dr
Xenia, OH 45385-1620
Phone
(937) 372-0900
Fax
(937) 372-0929
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-002451 OH Primary

Addresses

Primary practice location

1182 N Monroe Dr
Xenia, OH 45385-1620

Mailing address

1182 N Monroe Dr
Xenia, OH 45385-1620
Phone (937) 372-0900

Other identifiers 1

IdentifierTypeStateIssuer
0675836MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001480 OH Practitioner - Podiatry 0749491835 Practice locations: West Carrollton, OH; Xenia, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1182 N Monroe Dr
Xenia, OH 45385-1620
Phone (937) 372-0900

Hospital & facility affiliations

  • Kettering Health Greene Memorial Hospital, Xenia, OH, CCN 360026

Merit-based Incentive Payment System (MIPS)

Final score
29.63 of 100Reported as individual
Quality
55.56
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions539
Removal of nail tissue754
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Geriatric Education & Consulting,LLC PastSince Sep 16, 2014 Accepting new patients
Associates in Podiatry, Inc. Podiatrist Past Accepting new patients
Seniorwell Pod of Ohio LLC Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIGBBA/Endpoint/JIGBBA

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 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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1164579439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851620",
            "telephone_number": "937-372-0900",
            "fax_number": "937-372-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851620",
            "telephone_number": "937-372-0900",
            "fax_number": "937-372-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "STEVE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-002451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.