Individual provider Active NPI

Matthew William Daggy, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Hamilton, OH
National Provider Identifier
1578654273
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35-088580 Issued in OH
Practice address
2449 Ross Millville Rd
Hamilton, OH 45013-8951
Phone
(513) 856-5971
NPI assigned
Sep 27, 2006
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35088580 OH
Sports Medicine (Family Medicine) Physician 207QS0010X 35-088580 OH Primary

Addresses

Primary practice location

2449 Ross Millville Rd
Hamilton, OH 45013-8951

Mailing address

4685 Forest Ave C
Cincinnati, OH 45212-3359
Phone (513) 853-4731

Other identifiers 5

IdentifierTypeStateIssuer
35088580OtherOHOH MEDICAL LICENSE
7118900OtherOHAETNA
2705362MedicaidOH
000000601226OtherOHANTHEM
497204OtherOHWELLCARE

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
I20061114000167 OH Practitioner - Family Practice 4981602646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

3035 Hamilton Mason Rd
Fairfield Township, OH 45011-5545

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-088580OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
McCullough-Hyde Memorial Hospital, Inc. Current Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
McCullough-Hyde Memorial Hospital Incorporated CurrentSince Sep 4, 2011 Accepting new patients
McCullough-Hyde Memorial Hospital, Inc. CurrentSince Sep 4, 2011 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine Past Accepting new patients
Trihealth Os, LLC PastSince Jul 1, 2015 Accepting new patients
Mercy Health Physicians Cincinnati LLC Past Accepting new patients

Locations

1775 W Lexington
Ste 100
Cincinnati, OH 45212
Phone (513) 531-6720

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

10 Office Park Dr
Ste A
Hamilton, OH 45013
Phone (513) 524-1100

2449 Ross Millville Rd
Hamilton, OH 45013
Phone (513) 422-6516

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111

Interoperability endpoints

  • Direct secure messaging: mdaggy39179@direct.trihealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1578654273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123359",
            "telephone_number": "513-853-4731",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 ROSS MILLVILLE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450138951",
            "telephone_number": "513-856-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGY",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35088580",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35-088580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAL LICENSE",
            "identifier": "35088580",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7118900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2705362",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000601226",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "497204",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.