Active NPI
Charles L Bane, MD
- Hematology & Oncology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35077949
- Practice address
- 8881 N Main St
Dayton, OH 45415-1333 - Phone
- (937) 293-1622
- Fax
- (937) 245-6308
- NPI assigned
- May 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 35077949 | OH | Primary |
Addresses
Primary practice location
8881 N Main St
Dayton, OH 45415-1333
Mailing address
6680 Poe Ave
Suite 200
Dayton, OH 45414-2854
Phone (937) 280-8400
Other practice location 1
3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622
Other practice location 2
2300 Miami Valley Dr Ste 150
Centerville, OH 45459-1294
Phone (937) 293-1622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2221385 | Medicaid | OH | |
| 000000389959 | Other | ANTHEM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbane945@direct.premierhealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Washington University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622
Hospital & facility affiliations
- Fidelity Health Care
- Miami Valley Hospital
- Upper Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077949 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Physicians, LLC | Current | Accepting new patients | |
| Dayton Physicians, LLC | Hematology & Oncology | Current | Accepting new patients |
| Hematology & Oncology of Dayton, Inc. | Hematology & Oncology | Past | Accepting new patients |
Locations
2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366
6680 Poe Ave
Ste 200
Dayton, OH 45414
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093
3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066
1382 E Stroop Rd
Kettering, OH 45429
Phone (937) 293-4383
501 Atrium Dr
Fl 1
Middletown, OH 45005
855 W Market St
Troy, OH 45373
Phone (937) 552-7238
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Dayton, OH
- NPI 1902844947
-
- Durable Medical Equipment & Medical Supplies
- Dayton, OH
- NPI 1811141559
-
- Hematology & Oncology Physician
- Dayton, OH
- NPI 1518156983
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Moraine, OH
- NPI 1235127838
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1730134933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6680 POE AVE",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454142854",
"telephone_number": "937-280-8400",
"fax_number": "937-280-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151333",
"telephone_number": "937-293-1622",
"fax_number": "937-245-6308"
}
],
"practiceLocations": [
{
"address_1": "3120 Governors Place Blvd",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454091328",
"country_code": "US",
"telephone_number": "937-293-1622",
"fax_number": "937-245-6308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Miami Valley Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454591294",
"country_code": "US",
"telephone_number": "937-293-1622",
"fax_number": "937-245-6308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANE",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35077949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2221385",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000389959",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbane945@direct.premierhealth.com",
"affiliation": "N",
"address_1": "8881 N Main St",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454151333",
"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 29, 2022; 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.