Individual provider Active NPI

Thomas Gerard Feeny, PA-C

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1467478024
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.000613RX Issued in OH
Practice address
4340 Clyo Rd Ste 200
Dayton, OH 45459-7000
Phone
(937) 534-7330
Fax
(937) 395-3682
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.000613RX OH Primary

Addresses

Primary practice location

4340 Clyo Rd Ste 200
Dayton, OH 45459-7000

Mailing address

4340 Clyo Rd Ste 200
Dayton, OH 45459-7000
Phone (937) 396-2602

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address digestivespecialists@directaddress.net Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000200 OH Practitioner - Physician Assistant 0749176949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians
Digestive Specialists IncGroup PAC ID 2062300809, 25 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

4340 Clyo Rd
Dayton, OH 45459-7000
Phone (937) 396-2602

5697 Shull Rd
Suite 200
Huber Heights, OH 45424-1203
Phone (937) 534-7330

77 W Eleanor Dr
Springboro, OH 45066-1615
Phone (937) 534-7330

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368

Merit-based Incentive Payment System (MIPS)

Final score
95.84 of 100Reported as group
Quality
92.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.000613RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Specialists Inc CurrentSince Jan 1, 1990 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 23, 2026 Accepting new patients
Digestive Specialists Inc CurrentSince Jan 1, 1990 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 23, 2026 Accepting new patients
Major Hospital Past Accepting new patients
Ohio Neurosurgical Institute Inc Past Accepting new patients
Greater Cincinnati Pain Management Past Accepting new patients

Locations

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

30 E Apple St
Ste 6253
Dayton, OH 45409
Phone (937) 208-2088

4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602

5697 Shull Rd
Huber Heights, OH 45424
Phone (937) 913-2080

77 W Eleanor Dr
Springboro, OH 45066
Phone (937) 913-2080

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Interoperability endpoints

  • Direct secure messaging: digestivespecialists@directaddress.net

Organizations & group practices 8

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 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1467478024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 CLYO RD STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597000",
            "telephone_number": "937-396-2602",
            "fax_number": "937-395-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 CLYO RD STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597000",
            "telephone_number": "937-534-7330",
            "fax_number": "937-395-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENY",
        "first_name": "THOMAS",
        "middle_name": "GERARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.000613RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "digestivespecialists@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4340 Clyo Rd Ste 200",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.