Individual provider Active NPI

Trevor Daniel Bluemel, MD

  • Radiation Oncology Physician
  • Englewood, OH
National Provider Identifier
1407201551
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.141585 Issued in OH
Practice address
9000 N Main St Ste G-37
Englewood, OH 45415-1180
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35.141585 OH Primary

Addresses

Primary practice location

9000 N Main St Ste G-37
Englewood, OH 45415-1180

Mailing address

6680 Poe Ave Ste 200
Dayton, OH 45414-2855
Phone (937) 280-8400

Other practice location 1

2300 Miami Valley Dr Ste 150
Centerville, OH 45459-1294
Phone (937) 293-1622

Other practice location 2

3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622

Other practice location 3

1111 Sweitzer St Ste C
Greenville, OH 45331-1189
Phone (937) 293-1622

Other practice location 4

501 Atrium Dr
Middletown, OH 45005-5165
Phone (937) 293-1622

Other practice location 5

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 293-1622

Other identifiers 1

IdentifierTypeStateIssuer
0441735MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbluemel1777310@direct.premierhealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210506000696 OH Practitioner - Radiation Oncology 8820381908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Wisconsin, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dayton Physicians LLCGroup PAC ID 1456374859, 40 clinicians

Practice addresses (Care Compare)

9000 N Main St
Suite G 37
Englewood, OH 45415-1180
Phone (937) 293-1622

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
84.11
Promoting interoperability
100
Improvement activities
40
Cost
85.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Physicians, LLC CurrentSince Jul 1, 2021 Accepting new patients
Dayton Physicians, LLC Radiation Oncology CurrentSince Jul 1, 2021 Accepting new patients

Locations

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

6680 Poe Ave
Ste 200
Dayton, OH 45414

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

9000 N Main St
Ste G37
Englewood, OH 45415

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

1111 Sweitzer St
Ste C
Greenville, OH 45331
Phone (937) 276-8320

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

501 Atrium Dr
Ste 100
Middletown, OH 45005

501 Atrium Dr
Fl 1
Middletown, OH 45005

501 Atrium Dr
Middletown, OH 45005
Phone (937) 245-6320

3130 N County Road 25A
Ste 500
Troy, OH 45373

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1407201551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142855",
            "telephone_number": "937-280-8400",
            "fax_number": "937-280-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST STE G-37",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Miami Valley Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 Governors Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454091328",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Sweitzer St Ste C",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311189",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Atrium Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055165",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUEMEL",
        "first_name": "TREVOR",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.141585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441735",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbluemel1777310@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "9000 N Main St Ste G-37",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454151180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.