Derek J Menkedick, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

34.014272 Issued in OH

Practice address

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811

Phone

(937) 439-6186

Fax

(937) 439-6189

NPI assigned

Mar 22, 2016

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Neurology

Education

Midwestern University, Chicago College of Osteopathic Med, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland District Hospital Professional Services CorporationGroup PAC ID 3971415696, 25 clinicians

Dayton Osteopathic HospitalGroup PAC ID 7618878877, 34 clinicians

Dayton Center for Neurological Disorders IncGroup PAC ID 4082501853, 26 clinicians

Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Wilmington Physicians Group LLCGroup PAC ID 4688853419, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
• Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
• Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

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

Merit-based Incentive Payment System (MIPS)

Final score

87.05 of 100Reported as group

Quality

81.65

Promoting interoperability

100

Improvement activities

40

Cost

75.2

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derek.menkedick.1@1367.direct.athenahealth.com
• Direct secure messaging: derek.menkedick.2@6237.direct.athenahealth.com
• Direct secure messaging: derekmenkedick@hfh.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

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.

• Dayton Center for Neurological Disorders Inc

  • Neurology Physician
  • Centerville, OH
  • NPI 1699728972
  Medicare reassignment Care Compare group NPD
• Dayton Osteopathic Hospital

  dba Kettering Health Dayton - Cassano

  • Multi-Specialty Clinic/Center
  • Dayton, OH
  • NPI 1588630347
  Medicare reassignment Care Compare group NPD
• Highland District Hospital Professional Services Corporation

  • Family Medicine Physician
  • Hillsboro, OH
  • NPI 1205893351

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742
  Medicare reassignment Care Compare group NPD
• Wilmington Physicians Group LLC

  • Family Medicine Physician
  • Wilmington, OH
  • NPI 1932401411

  Neurology

  Medicare reassignment Care Compare group NPD
• Dayton Osteopathic Hospital

  dba Kettering Health Washington Township Womens Care

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1053386102
  NPD
• Dayton Osteopathic Hospital

  dba Kettering Health Specialty Pharmacy

  • Specialty Pharmacy
  • Kettering, OH
  • NPI 1629511688
  NPD
• Highland District Hospital Professional Services Corporation

  dba Lynchburg Medical Center

  • Rural Health Clinic/Center
  • Lynchburg, OH
  • NPI 1639470388
  NPD
• Trihealth Physician Institute

  dba GEROS Physician Extenders

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1922051697
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beavercreek Medical Center

  dba Soin Medical Center

  • General Acute Care Hospital
  • Beavercreek, OH
  • NPI 1760764849
  Care Compare affiliation
• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Highland District Hospital

  • Critical Access Hospital
  • Hillsboro, OH
  • NPI 1225053119
  Care Compare affiliation
• Kettering Medical Center

  dba Kettering Health Main Campus

  • General Acute Care Hospital
  • Kettering, OH
  • NPI 1043233984
  Care Compare affiliation
• Kettering Medical Center

  dba Kettering Health Miamisburg

  • General Acute Care Hospital
  • Miamisburg, OH
  • NPI 1316966518
  Care Compare affiliation

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1699137364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "937-439-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "937-439-6189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Southern Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291265",
            "country_code": "US",
            "telephone_number": "937-643-9299",
            "fax_number": "937-643-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENKEDICK",
        "first_name": "DEREK",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.014272",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34.014272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400966",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmenkedick567320@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3700 Southern Blvd Ste 300",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291265",
            "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": "3700 Southern Blvd Ste 300",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Neurology Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.