Individual provider Active NPI

Ivan David Ongom, MD

  • Hospitalist Physician
  • Dayton, OH
National Provider Identifier
1659502433
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35-098603 Issued in OH
Practice address
30 E Apple St
Ste 3300
Dayton, OH 45409-2939
Phone
(937) 208-8394
Fax
(937) 208-8388
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-098603 OH
Internal Medicine Physician 207R00000X 48246 KY
Hospitalist Physician 208M00000X 35-098603 OH Primary

Addresses

Primary practice location

30 E Apple St
Ste 3300
Dayton, OH 45409-2939

Mailing address

30 E Apple St
Ste 3300
Dayton, OH 45409-2939
Phone (937) 208-8394

Other identifiers 1

IdentifierTypeStateIssuer
0068049MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120727000580 OH Practitioner - Internal Medicine 5193981686 Reassigns benefits to 9 organizations
I20150928001256 KY Practitioner - Internal MedicinePractitioner - Hospitalist 5193981686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hisey Physician Services, LLCGroup PAC ID 8426495292, 43 clinicians
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Sinclair Physician Services, LLCGroup PAC ID 9830536911, 128 clinicians
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians
Usacs Integrated Acute Care Services of Ohio LLCGroup PAC ID 9032527221, 232 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394

2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

3130 N Country Rd
25A
Troy, OH 45373-1337
Phone (937) 440-4466

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-5000

9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
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

LicenseStateTypeSpecialty
48246KYMDInternal Medicine Physician
35-098603OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Methodist Health, Inc. Internal Medicine Current Accepting new patients
Sinclair Physician Services, LLC Internal Medicine CurrentSince Mar 18, 2024 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince May 16, 2023 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Dec 18, 2015 Accepting new patients
Hisey Physician Services, LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Feb 10, 2020 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Apr 27, 2023 Accepting new patients
South Dayton Acute Care Consultants, Inc Internal Medicine Past Accepting new patients
Miami Valley Hospital Past Accepting new patients
Upper Valley Medical Center Past Accepting new patients
Mercy Health - West Hospital LLC Past Accepting new patients

Locations

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

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

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: iongom185797@direct.bsmhealth.org

Organizations & group practices 14

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.

View all 14

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1659502433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "STE 3300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-8394",
            "fax_number": "937-208-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "STE 3300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-8394",
            "fax_number": "937-208-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGOM",
        "first_name": "IVAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-098603",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "48246",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-098603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.