NPIMap

Individual provider Active NPI

Trisha L Zeidan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Dayton, OH
National Provider Identifier
1679695985
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35088287 Issued in OH
Practice address
5250 Far Hills Ave Ste 150
Dayton, OH 45429-2389
Phone
(937) 356-9966
Fax
(937) 504-5094
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35088287 OH Primary

Addresses

Primary practice location

5250 Far Hills Ave Ste 150
Dayton, OH 45429-2389

Mailing address

1614 Gatekeeper Way
Centerville, OH 45458-3954
Phone (614) 832-2688

Other identifiers 1

IdentifierTypeStateIssuer
2970898MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000063 OH Practitioner - Endocrinology 6800949140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zeidan Diabetes and Endocrinology LLCGroup PAC ID 7517489768, 2 clinicians

Practice addresses (Care Compare)

5250 Far Hills Ave
Suite 150
Dayton, OH 45429-2389
Phone (614) 832-2688

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

Merit-based Incentive Payment System (MIPS)

Final score
84.17 of 100Reported as group
Quality
65.6
Promoting interoperability
100
Improvement activities
40
Cost
74.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088287OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Jan 3, 2011 Accepting new patients
Zeidan Diabetes & Endocrinology LLC Endocrinology, Diabetes & Metabolism CurrentSince Feb 10, 2025 Accepting new patients
Mvhe Inc Current Accepting new patients
Mvhe Inc CurrentSince Jan 3, 2011 Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

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

1222 S Patterson Blvd
Ste 210
Dayton, OH 45402
Phone (937) 208-9090

5678 Far Hills Ave
Kettering, OH 45429
Phone (937) 279-8630

5250 Far Hills Ave
Ste 150
Kettering, OH 45429
Phone (614) 832-2688

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

400 Sugar Camp Cir
Ste 205
Oakwood, OH 45409
Phone (937) 395-3656

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1679695985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 GATEKEEPER WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583954",
            "telephone_number": "614-832-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE STE 150",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292389",
            "telephone_number": "937-356-9966",
            "fax_number": "937-504-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDAN",
        "first_name": "TRISHA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35088287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2970898",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.