Individual provider Active NPI

Michael A Elrod, DO

  • Surgery Physician
  • Centerville, OH
National Provider Identifier
1629001359
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34008804 Issued in OH
Practice address
7700 Washington Village Dr Ste 130
Centerville, OH 45459-4094
Phone
(937) 531-0195
Fax
(937) 531-0196
NPI assigned
Jul 8, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34008804 OH Primary

Addresses

Primary practice location

7700 Washington Village Dr Ste 130
Centerville, OH 45459-4094

Mailing address

1 Prestige PL
Suite 550
Miamisburg, OH 45342-3794
Phone (937) 762-1310

Other identifiers 9

IdentifierTypeStateIssuer
2702954MedicaidOH
000000823179OtherOHBCBS - ANTHEM PMG
4515730OtherOHCIGNA
311175717OtherOHTRICARE HEALTHNET
000000490751OtherBCBS-OH
311175717224OtherOHCARESOURCE
421534506OtherOHHEALTHNET
7721889OtherOHAETNA
P00478009OtherOHRAIL ROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address melrod171338@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20061107000192 OH Practitioner - General Surgery 3870590722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio University, College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Dayton Osteopathic HospitalGroup PAC ID 7618878877, 34 clinicians

Practice addresses (Care Compare)

1250 W National Rd
Englewood, OH 45315-9505
Phone (937) 458-0085

165 Edwin C Moses Blvd
Cassano Comm HLTH CT
Dayton, OH 45407
Phone (937) 396-8150

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

7700 Washington Village Dr
Suite 130
Centerville, OH 45459-4094
Phone (937) 531-0195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Osteopathic Hospital CurrentSince Nov 2, 2013 Accepting new patients
Kettering Independent Medical Group Inc Surgery CurrentSince Dec 29, 2022 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Nov 2, 2013 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2510 Commons Blvd
Ste 110
Beavercreek, OH 45431
Phone (937) 427-3333

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

300 Forest Ave
Ste 101
Dayton, OH 45405
Phone (937) 531-7104

7700 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (937) 531-0195

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062

8701 Old Troy Pike
Ste 40B
Huber Heights, OH 45424
Phone (937) 433-3460

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

6147 State Route 122
Ste 200
Middletown, OH 45005
Phone (513) 261-3500

400 Sugar Camp Cir
Ste 100
Oakwood, OH 45409
Phone (567) 970-4824

Interoperability endpoints

  • Direct secure messaging: melrod171338@direct.ketteringhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1629001359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL",
            "address_2": "SUITE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423794",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR STE 130",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594094",
            "telephone_number": "937-531-0195",
            "fax_number": "937-531-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELROD",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-09-29",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34008804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2702954",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - ANTHEM PMG",
            "identifier": "000000823179",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4515730",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HEALTHNET",
            "identifier": "311175717",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-OH",
            "identifier": "000000490751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311175717224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "421534506",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7721889",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00478009",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melrod171338@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7700 Washington Village Dr Ste 130",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7700 Washington Village Dr Ste 130",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.