Active NPI
Eseoghene Ayisire, MBCHB, MD
- Hospitalist Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.125490
- Practice address
- 30 E Apple St Ste Nw3300
Dayton, OH 45409-2939 - Phone
- (937) 208-8394
- Fax
- (937) 208-8388
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 21813 | ND | |
| Hospitalist Physician | 208M00000X | 35.125490 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 35.125490 | OH |
Addresses
Primary practice location
30 E Apple St Ste Nw3300
Dayton, OH 45409-2939
Mailing address
136 S Ludlow St
# 1
Dayton, OH 45402-1813
Phone (216) 527-7665
Other practice location 1
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3277
Other practice location 2
3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eayisire661222@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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701002916 | OH | Practitioner - Hospitalist | 1153633243 | Reassigns benefits to 7 organizations |
| I20241128000063 | ND | Practitioner - Hospitalist | 1153633243 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mvhe IncInnovis Health LLCSinclair Physician Services, LLC
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394
Hospital & facility affiliations
- Miami Valley Hospital
- Essentia Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.125490 | OH | MD | Internal Medicine Physician |
| 21813 | ND | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Innovis Health, LLC | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Hisey Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| Sinclair Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Midwest Hospitalist Physicians LLP | Hospitalist | Current | Accepting new patients |
| Upper Valley Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Innovis Health, LLC | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Miami Valley Hospital | Past | Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
30 E Apple St
Ste NW3300
Dayton, OH 45409
Phone (937) 208-8394
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 19
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.
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- Hospitalist Physician
- Dayton, OH
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- Hospitalist Physician
- Middletown, OH
- NPI 1073380614
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-
- Orthopaedic Surgery Physician
- Miamisburg, OH
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Internal Medicine, OH
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
Internal Medicine, OH
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
Internal Medicine, OH
-
- Family Medicine Physician
- Fargo, ND
- NPI 1255677084
-
- Family Medicine Physician
- Fargo, ND
- NPI 1578907655
-
- Family Medicine Physician
- Moorhead, MN
- NPI 1659617504
-
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1780043257
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": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1639434145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 S LUDLOW ST",
"address_2": "# 1",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021813",
"telephone_number": "216-527-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST STE NW3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
}
],
"practiceLocations": [
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454057538",
"country_code": "US",
"telephone_number": "937-723-3277",
"fax_number": "937-723-3277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 32nd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036132",
"country_code": "US",
"telephone_number": "701-364-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYISIRE",
"first_name": "ESEOGHENE",
"name_prefix": "Dr.",
"credential": "MBCHB, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ND",
"license": "21813",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.125490",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.125490",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eayisire661222@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "405 W Grand Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454057538",
"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": "405 W Grand Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454057538",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.