Individual provider Active NPI

Jonathan Joseph Paley, M.D.

  • Orthopaedic Surgery Physician
  • Dayton, OH
National Provider Identifier
1508967316
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
55720 Issued in OH
Practice address
5491 Far Hills Avenue
Dayton, OH 45429
Phone
(937) 436-5763
Fax
(937) 436-7399
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 55720 OH Primary

Addresses

Primary practice location

5491 Far Hills Avenue
Dayton, OH 45429

Mailing address

5491 Far Hills Avenue
Dayton, OH 45429
Phone (937) 436-5763

Other practice location 1

7760 W VOA Park Drive
Suite G
West Chester, OH 45069
Phone (937) 436-5763

Other practice location 2

2419 E High St
Springfield, OH 45505-1323
Phone (937) 436-5763

Other identifiers 1

IdentifierTypeStateIssuer
2163297MedicaidOH

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
I20120416000213 OH Practitioner - Orthopedic Surgery 1759282361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Orthopaedic Surgery and Sports Medicine CenterGroup PAC ID 8224061791, 2 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

5491 Far Hills Ave
Dayton, OH 45429-2325
Phone (937) 436-5763

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Orthopaedic Surgery & Sports Medicine Center CurrentSince May 18, 1994 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dayton Orthopedic Surgery and Sports Medicine Center Past Accepting new patients
Middletown Surgical Associates Past Accepting new patients

Locations

5491 Far Hills Ave
Kettering, OH 45429
Phone (937) 436-5763

2419 E High St
Springfield, OH 45505
Phone (937) 398-0016

Organizations & group practices 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1508967316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5491 FAR HILLS AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-436-5763",
            "fax_number": "937-436-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 FAR HILLS AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-436-5763",
            "fax_number": "937-436-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7760 W VOA Park Drive",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "45069",
            "country_code": "US",
            "telephone_number": "937-436-5763",
            "fax_number": "937-436-7399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2419 E High St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051323",
            "country_code": "US",
            "telephone_number": "937-436-5763",
            "fax_number": "937-436-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALEY",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "55720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.