Andrew Diller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.097027 Issued in OH

Practice address

950 Salem St
Brookville, OH 45309-8227

Phone

(937) 833-4582

Fax

(937) 833-5359

NPI assigned

May 15, 2009

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Wright State University Boonshoft School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Family Care IncGroup PAC ID 5092608372, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
• Hospice of Dayton Hospice, Dayton, OH, CCN 361501
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Atrium Medical Center Hospital, Franklin, OH, CCN 360076
• Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score

87.94 of 100Reported as group

Quality

80.85

Promoting interoperability

99

Improvement activities

40

Cost

79.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Samaritan Family Care Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659503886
  Medicare reassignment Care Compare group NPD
• Samaritan Family Care Inc

  dba Samaritan Hospitalist Group

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1558316638
  NPD
• Samaritan Family Care, Inc.

  dba Brookville Family Care

  • Family Medicine Physician
  • Brookville, OH
  • NPI 1851344501
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Atrium Medical Center

  • General Acute Care Hospital
  • Franklin, OH
  • NPI 1700950060
  Care Compare affiliation
• Fidelity Health Care Inc

  dba Fidelity Nursing Systems

  • Home Health Agency
  • Moraine, OH
  • NPI 1235127838
  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation
• The Hospice of Dayton, Inc.

  • Community Based Hospice Care Agency
  • Dayton, OH
  • NPI 1346220142
  Care Compare affiliation
• Upper Valley Medical Center

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1184638942
  Care Compare affiliation

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1376778654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SALEM ST",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098227",
            "telephone_number": "937-833-4582",
            "fax_number": "937-833-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SALEM ST",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098227",
            "telephone_number": "937-833-4582",
            "fax_number": "937-833-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLER",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.097027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M Davenport, LPN
• Susan Frederica Davis-Brown, MD
• Jessica Lynn Denlinger, APRN, FNP-C
• Katelyn Renae Denlinger
• James A Dickey, O.D.
• Olga Vladimirovna Dunina, RN
• Dwaine E. Valentine, D.D.S., Inc.
• Kari Ann Eggleston, LPN
• Eyedocs Family Eye Care
• Faithful Hearts LLC

• Family Medicine Physician in Brookville, OH
• Providers in Brookville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.

Verify at the official NPI Registry.