Individual provider Active NPI

Steven Brian Taylor, M.D.

  • Psychiatry Physician
  • Beavercreek, OH
National Provider Identifier
1235128281
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35073260 Issued in OH
Practice address
4172 Indian Ripple Rd Ste B
Beavercreek, OH 45440-3286
Phone
(937) 490-2090
Fax
(937) 490-2780
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35073260 OH Primary

Addresses

Primary practice location

4172 Indian Ripple Rd Ste B
Beavercreek, OH 45440-3286

Mailing address

4172 Indian Ripple Rd Ste B
Beavercreek, OH 45440-3286
Phone (937) 490-2090

Other identifiers 1

IdentifierTypeStateIssuer
2855003MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address staylor196094@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000304 OH Practitioner - PsychiatryPractitioner - Neurology 8022045665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

2141 N Fairfield Rd
Suite B
Beavercreek, OH 45431-2579
Phone (937) 458-0085

3359 Kemp Rd
Suite 200
Beavercreek, OH 45431-2567
Phone (937) 429-7307

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073260OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Eastway Corporation CurrentSince Apr 6, 2011 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

3359 Kemp Rd
Ste 200
Beavercreek, OH 45431
Phone (937) 429-7307

4172 Indian Ripple Rd
Ste B
Dayton, OH 45440
Phone (937) 490-2090

600 Wayne Ave
Dayton, OH 45410
Phone (937) 396-2525

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1235128281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 INDIAN RIPPLE RD STE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403286",
            "telephone_number": "937-490-2090",
            "fax_number": "937-490-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4172 INDIAN RIPPLE RD STE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403286",
            "telephone_number": "937-490-2090",
            "fax_number": "937-490-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEVEN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35073260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2855003",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staylor196094@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4172 Indian Ripple Rd Ste B",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454403286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4172 Indian Ripple Rd Ste B",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454403286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.