Active NPI
Michael Adolph, M.D.
- Hospice and Palliative Medicine (Surgery) Physician
- Dayton, OH
National Provider Identifier
1285688143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Surgery) Physician
- License
- 35060861
- Practice address
- 230 N Main St
Dayton, OH 45402-1263 - Phone
- (937) 531-3300
- NPI assigned
- May 22, 2006
- Last updated
- Apr 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.060861 | OH | |
| Hospice and Palliative Medicine (Surgery) Physician | 2086H0002X | 35060861 | OH | Primary |
Addresses
Primary practice location
230 N Main St
Dayton, OH 45402-1263
Mailing address
230 N Main St
Dayton, OH 45402-1263
Phone (937) 531-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0844742 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.060861 | OH | MD | Surgery Physician |
| 35060861 | OH | MD | Hospice and Palliative Medicine (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Approved Surgical Associates Inc | Surgery | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1285688143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021263",
"telephone_number": "937-531-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021263",
"telephone_number": "937-531-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADOLPH",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.060861",
"primary": false
},
{
"code": "2086H0002X",
"taxonomy_group": "",
"desc": "Surgery, Hospice and Palliative Medicine",
"state": "OH",
"license": "35060861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0844742",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.