Individual provider Active NPI

Blaise Gatto, D.O.

  • Family Medicine Physician
  • Moraine, OH
National Provider Identifier
1629243613
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.008828 Issued in OH
Practice address
3033 Kettering Blvd
Suite 100
Moraine, OH 45439-1962
Phone
(937) 293-2133
Fax
(937) 293-2161
NPI assigned
Apr 29, 2008
Last updated
Dec 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.008828 OH Primary

Addresses

Primary practice location

3033 Kettering Blvd
Suite 100
Moraine, OH 45439-1962

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

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
I20081027000075 OH Practitioner - Family Practice 5799843355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ameriwound LLCGroup PAC ID 0345498853, 8 clinicians

Practice addresses (Care Compare)

5040 Philadelphia Dr
Dayton, OH 45415-3604
Phone (937) 278-0404

Merit-based Incentive Payment System (MIPS)

Final score
99.01 of 100Reported as group
Quality
78.82
Promoting interoperability
100
Improvement activities
40
Cost
84.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.008828OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ameriwound LLC CurrentSince May 10, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients

Locations

14095 E Center St
Burton, OH 44021
Phone (440) 834-1084

10575 Springfield Pike
Cincinnati, OH 45215
Phone (513) 815-3852

8459 Colerain Ave
Unit C
Cincinnati, OH 45239
Phone (513) 815-3851

5040 Philadelphia Dr
Dayton, OH 45415
Phone (937) 278-0404

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630

6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124

1540 Michigan St
Sidney, OH 45365
Phone (937) 492-1961

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

3500 Shiloh Springs Rd
Trotwood, OH 45426
Phone (937) 573-7452

5790 Denlinger Rd
Trotwood, OH 45426
Phone (414) 721-8669

101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1629243613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD",
            "address_2": "SUITE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391962",
            "telephone_number": "937-293-2133",
            "fax_number": "937-293-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTO",
        "first_name": "BLAISE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.008828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

Verify at the official NPI Registry.