NPIMap

Individual provider Active NPI

Jay Ballen, MD

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1285649624
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35079834 Issued in OH
Practice address
2222 Philadelphia Dr
Dayton, OH 45406-1813
Phone
(937) 276-7623
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35079834 OH Primary

Addresses

Primary practice location

2222 Philadelphia Dr
Dayton, OH 45406-1813

Mailing address

1563 E Dorothy LN
Suite 101
Kettering, OH 45429-3897
Phone (937) 296-0253

Other identifiers 3

IdentifierTypeStateIssuer
300137611OtherOHRAILROAD MEDICARE
CK1297OtherOHRAILROAD MEDICARE
2257007MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000080 OH Practitioner - Diagnostic Radiology 1759380157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nevada School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Physician Associates IncGroup PAC ID 7719955368, 31 clinicians

Practice addresses (Care Compare)

30 Inverness CT
Springboro, OH 45066-1564
Phone (304) 366-2600

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
  • Roane General Hospital Hospital, Spencer, WV, CCN 511306
  • Davis Medical Center Hospital, Elkins, WV, CCN 510030
  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Spirit Physician Services Inc. Diagnostic Radiology Past Accepting new patients
Chillicothe Radiology Inc Diagnostic Radiology Past Accepting new patients
Saint Luke'S Hospital of Trenton Past Accepting new patients
Scioto Valley Family Physicians Inc PastSince Apr 17, 2010 Accepting new patients

Locations

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100

Organizations & group practices 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1285649624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 E DOROTHY LN",
            "address_2": "SUITE 101",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293897",
            "telephone_number": "937-296-0253",
            "fax_number": "937-293-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061813",
            "telephone_number": "937-276-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEN",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35079834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300137611",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK1297",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2257007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.