Active NPI
Matthew John Fox, M.D.
- Specialist
- Centerville, OH
National Provider Identifier
1306879218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35-06-8257-F
- Practice address
- 9985 Dayton Lebanon Pike
Centerville, OH 45458 - Phone
- (937) 886-2980
- Fax
- (937) 886-2982
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 35-06-8257-F | OH | Primary |
Addresses
Primary practice location
9985 Dayton Lebanon Pike
Centerville, OH 45458
Mailing address
9985 Dayton Lebanon Pike
Centerville, OH 45458
Phone (937) 886-2980
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310961569-00 | Other | OH | WORKERS COMP. |
| D68257 | Other | OH | HUMANA/CHOICE CARE |
| 2401681 | Medicaid | OH | |
| 310961569031 | Other | OH | CARESOURCE |
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
- Plastic and Reconstructive Surgery
- Education
- Wright State University Boonshoft School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9985 Dayton Lebanon Pike
Centerville, OH 45458-4231
Phone (937) 886-2980
Hospital & facility affiliations
- Kettering Health Main Campus
- Kettering Health Miamisburg
- Miami Valley Hospital
- Kettering Health Dayton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 54 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psi Surgery Center, LLC. | Past | Accepting new patients |
Interoperability endpoints
- mafox1@yourcarecommunity.org
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.
-
- Specialist
- Centerville, OH
- NPI 1740204460
-
- Medical Specialty Clinic/Center
- Centerville, OH
- NPI 1992738751
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
dba Kettering Health Miamisburg
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306879218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9985 DAYTON LEBANON PIKE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-886-2980",
"fax_number": "937-886-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9985 DAYTON LEBANON PIKE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-886-2980",
"fax_number": "937-886-2982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35-06-8257-F",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP.",
"identifier": "310961569-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICE CARE",
"identifier": "D68257",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2401681",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "310961569031",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
- Jennifer Rodriguez Foster, PA-C
- Michelle Foster, PTA
- Norah Anne Foster, M.D.
- Joanne Ellen Fountaine, LPN
- Amanda Ann Fox, NP-C
- Allison Christine Fralick, D.O.
- Everlina M Frazier
- Freedom Health Center (Freedom Family Chiropractic)
- Fresenius Medical Care Centerville Home, LLC (Fresenius Kidney Care Centerville Home)
- Friends of the Castle, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.