Organization Active NPI

Dayton Anesthesia Associates Inc

  • Specialist
  • Dayton, OH
National Provider Identifier
1336358571
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DAYTON ANESTHESIA ASSOCIATES INC
Practice address
1010 Woodman Dr
Dayton, OH 45432-1400
Phone
(937) 424-2215
Fax
(937) 252-1224
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Suresh Gupta, MD
Title
President
Phone
(937) 252-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1010 Woodman Dr
Dayton, OH 45432-1400

Mailing address

1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 424-2215

Other identifiers 1

IdentifierTypeStateIssuer
2069265MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000050 OH Part B Supplier - Clinic/Group Practice 5193793560 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, OH; West Chester, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1336358571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-424-2215",
            "fax_number": "937-252-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-424-2215",
            "fax_number": "937-252-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON ANESTHESIA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-252-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069265",
            "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 May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.