Individual provider Active NPI

Megan Wurm

  • Family Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1720440498
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34013737 Issued in OH
Practice address
1425 N Fairfield Rd.
110
Beavercreek, OH 45432-4543
Phone
(937) 426-0106
Fax
(937) 426-7153
NPI assigned
Mar 22, 2016
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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 34013737 OH Primary

Addresses

Primary practice location

1425 N Fairfield Rd.
110
Beavercreek, OH 45432-4543

Mailing address

1425 N Fairfield Rd Ste 110
Beavercreek, OH 45432-2674
Phone (937) 426-0106

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
I20190605001643 OH Practitioner - Family Practice 0143529008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1425 N Fairfield Rd
Suite 110
Beavercreek, OH 45432-2674
Phone (937) 426-0106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34013737OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Integrated Medical Assoc LTD Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine Current Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

1425 N Fairfield Rd
Ste 110
Beavercreek, OH 45432
Phone (937) 426-0106

2322 Lakeview Dr
Beavercreek, OH 45431
Phone (937) 424-5986

25 Merchant St
Ste 220
Cincinnati, OH 45246

1900 Composite Dr
Kettering, OH 45420
Phone (937) 293-8419

3080 Ackerman Blvd
Ste 220
Kettering, OH 45429
Phone (937) 294-3228

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.

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1720440498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N FAIRFIELD RD STE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322674",
            "telephone_number": "937-426-0106",
            "fax_number": "379-426-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N FAIRFIELD RD.",
            "address_2": "110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454324543",
            "telephone_number": "937-426-0106",
            "fax_number": "937-426-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURM",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34013737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.