NPIMap

Organization Active NPI

DCR Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
National Provider Identifier
1174571970
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0715AS Issued in OH
Legal business name
DCR SURGERY CENTER, LLC
Practice address
245 W Elmwood Dr Ste 100
Dayton, OH 45459-4259
Phone
(937) 938-6484
Fax
(937) 723-9837
NPI assigned
May 4, 2006
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Abdul Shahid, M.D.NPI 1063496586
Title
President
Phone
(937) 938-6484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0715AS OH Primary

Addresses

Primary practice location

245 W Elmwood Dr Ste 100
Dayton, OH 45459-4259

Mailing address

245 W Elmwood Dr Ste 100
Dayton, OH 45459-4259
Phone (937) 938-6484

Other identifiers 1

IdentifierTypeStateIssuer
2632575MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000709 OH Part B Supplier - Ambulatory Surgical Center 9133011273 Practice locations: Dayton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174571970. Details of each certification follow.

Ambulatory surgical center certification: CCN 36C0001184

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DCR SURGERY CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 13, 2004
Last certification
Feb 21, 2018
Ownership / control type
Proprietary
Facility address
245 West Elmwood Drive
Dayton, OH 45459

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1018332DCR Surgery Center245 West Elmwood Dr, Suite 100, Centerville, OH 45459Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Locations

245 W Elmwood Dr
Ste 100
Dayton, OH 45459
Phone (937) 350-6703

5932 Springboro Pike
Dayton, OH 45449
Phone (937) 435-8663

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1174571970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W ELMWOOD DR STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594259",
            "telephone_number": "937-938-6484",
            "fax_number": "937-723-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W ELMWOOD DR STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594259",
            "telephone_number": "937-938-6484",
            "fax_number": "937-723-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCR SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-938-6484",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0715AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.