Active NPI
Joel D Macy, M.D.
- Family Medicine Physician
- Fairborn, OH
National Provider Identifier
1225031099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-08-0461-M
- Practice address
- 7790 Dayton Springfield Rd Ste B
Fairborn, OH 45324-1996 - Phone
- (937) 340-6440
- Fax
- (937) 340-6441
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-08-0461-M | OH | Primary |
Addresses
Primary practice location
7790 Dayton Springfield Rd Ste B
Fairborn, OH 45324-1996
Mailing address
7790 Dayton Springfield Rd Ste B
Fairborn, OH 45324-1996
Phone (937) 399-7777
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000222542 | Other | OH | ANTHEM |
| 0109435 | Other | OH | UNITED HEALTH CARE |
| 97569 | Other | OH | NATIONWIDE |
| 2314909 | Medicaid | OH | |
| OH0036839 | Other | OH | TRICARE/CHAMPUS |
| 7572352 | Other | OH | AETNA |
| 08018351 | Other | OH | RR MEDICARE |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Ohio, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2816 Troy Rd
Springfield, OH 45504-4328
Phone (937) 340-6440
Hospital & facility affiliations
- Community Mercy Home Care, LLC
- Ohio Valley Surgical Hospital
- Springfield Regional Medical Center
- Mercy Health - Urbana Hospital
- Memorial Hospital
- Soin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
7790 Dayton Springfield Rd
Ste B
Fairborn, OH 45324
Phone (937) 340-6440
3250 Middle Urbana Rd
Springfield, OH 45502
Phone (937) 399-7777
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Springfield, OH
- NPI 1114664836
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- Critical Access Hospital
- Urbana, OH
- NPI 1144286352
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
- Home Health Agency
- Springfield, OH
- NPI 1790779221
-
- General Acute Care Hospital
- Marysville, OH
- NPI 1720159338
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1225031099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7790 DAYTON SPRINGFIELD RD STE B",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453241996",
"telephone_number": "937-399-7777",
"fax_number": "937-399-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7790 DAYTON SPRINGFIELD RD STE B",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453241996",
"telephone_number": "937-340-6440",
"fax_number": "937-340-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACY",
"first_name": "JOEL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-08-0461-M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000222542",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0109435",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "97569",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2314909",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "OH0036839",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7572352",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "08018351",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.