Individual provider Active NPI

Erin Mackenzie Tracy, DO

  • Family Medicine Physician
  • Trenton, OH
National Provider Identifier
1205332772
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.017268 Issued in OH
Practice address
3590 Busenbark Rd Ste 400
Trenton, OH 45067-9602
Phone
(513) 988-6369
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T0142 TX
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X OH
Family Medicine Physician 207Q00000X 34.017268 OH Primary

Addresses

Primary practice location

3590 Busenbark Rd Ste 400
Trenton, OH 45067-9602

Mailing address

3590 Busenbark Rd Ste 400
Trenton, OH 45067-9602
Phone (139) 886-3695

Other practice location 1

2261 Philadelphia Dr Ste 301
Dayton, OH 45406-1814
Phone (937) 734-4141

Other practice location 2

14530 NW Military Hwy
Shavano Park, TX 78231-1622
Phone (210) 450-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20210715001493 TX Practitioner - Family Practice 8820348600 Reassigns benefits to 1 organization
I20241121003373 OH Practitioner - Family Practice 8820348600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

3590 Busenbark Rd
Suite 400
Trenton, OH 45067-9602
Phone (513) 988-6369

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0142TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Mvhe Inc Single Specialty CurrentSince Sep 7, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Sep 1, 2021 Accepting new patients
Mvhe Inc CurrentSince Sep 7, 2024 Accepting new patients
Mvhe Inc Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3590 Busenbark Rd
Ste 400
Trenton, OH 45067
Phone (513) 988-6369

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

14530 NW Military Hwy
Shavano Park, TX 78231
Phone (210) 450-6220

Interoperability endpoints

  • Direct secure messaging: etracy32984@direct.utmsa.com

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 3

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1205332772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 BUSENBARK RD STE 400",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450679602",
            "telephone_number": "139-886-3695",
            "fax_number": "513-869-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BUSENBARK RD STE 400",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450679602",
            "telephone_number": "513-988-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2261 Philadelphia Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061814",
            "country_code": "US",
            "telephone_number": "937-734-4141",
            "fax_number": "937-277-7249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14530 NW Military Hwy",
            "address_purpose": "LOCATION",
            "city": "Shavano Park",
            "state": "TX",
            "postal_code": "782311622",
            "country_code": "US",
            "telephone_number": "210-450-6620",
            "fax_number": "210-450-6621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACY",
        "first_name": "ERIN",
        "middle_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T0142",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, OH

Sources for this page

Verify at the official NPI Registry.