Individual provider Active NPI

Andrew Fellers, MD

  • Family Medicine Physician
  • Troy, OH
National Provider Identifier
1184073850
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.142804 Issued in OH
Practice address
700 S Stanfield Rd Ste a
Troy, OH 45373-2569
Phone
(937) 339-5355
Fax
(937) 339-3056
NPI assigned
Jun 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5601009235 MI
Family Medicine Physician 207Q00000X 35.142804 OH Primary

Addresses

Primary practice location

700 S Stanfield Rd Ste a
Troy, OH 45373-2569

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 339-5355

Other identifiers 1

IdentifierTypeStateIssuer
11018928AOtherININ MEDICAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address afellers519909@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200416001396 MI Practitioner - Family Practice 8820386725 Reassigns benefits to 1 organization
I20210712002174 OH Practitioner - Family Practice 8820386725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

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

700 Stanfeld Rd
Suite a
Troy, OH 45373-2373
Phone (937) 339-5355

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.142804OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Sep 7, 2021 Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine CurrentSince Mar 9, 2020 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Sep 7, 2021 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Mar 9, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

510 Ashmun St
Ste 5
Sault South Marie, MI 49783
Phone (906) 632-6013

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

200 Kienle Dr
Piqua, OH 45356
Phone (937) 339-5355

1 Kettering Way
Ste 200
Piqua, OH 45356
Phone (937) 916-2700

700 S Stanfield Rd
Troy, OH 45373
Phone (937) 335-7121

600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350

700 S Stanfield Rd
Ste A
Troy, OH 45373
Phone (934) 339-5355

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

Organizations & group practices 5

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 6

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1184073850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD STE A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732569",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLERS",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601009235",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.142804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICAL LICENSE",
            "identifier": "11018928A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afellers519909@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd Ste A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd Ste A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.