Individual provider Active NPI

James McNerney, DO

  • Family Medicine Physician
  • Piqua, OH
National Provider Identifier
1740270727
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006381M Issued in OH
Practice address
200 Kienle Dr
Piqua, OH 45356-4120
Phone
(937) 339-5355
Fax
(937) 773-9810
NPI assigned
Oct 21, 2005
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 34006381M OH Primary

Addresses

Primary practice location

200 Kienle Dr
Piqua, OH 45356-4120

Mailing address

200 Kienle Dr
Piqua, OH 45356-4120
Phone (937) 339-5355

Other identifiers 1

IdentifierTypeStateIssuer
2008231MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmcnerney182314@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20100721000304 OH Practitioner - Family Practice 7719957307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006381MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
Upper Valley Family Care, Inc Family Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

200 Kienle Dr
Piqua, OH 45356
Phone (937) 339-5355

700 S Stanfield Rd
#1
Troy, OH 45373
Phone (937) 339-5355

700 S Stanfield Rd
Ste 1
Troy, OH 45373

700 S Stanfield Rd
Ste A
Troy, OH 45373
Phone (934) 339-5355

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Interoperability endpoints

  • Direct secure messaging: jmcnerney182314@direct.ketteringhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1740270727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KIENLE DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564120",
            "telephone_number": "937-339-5355",
            "fax_number": "937-773-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KIENLE DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564120",
            "telephone_number": "937-339-5355",
            "fax_number": "937-773-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNERNEY",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006381M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008231",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcnerney182314@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "200 Kienle Dr",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564120",
            "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": "200 Kienle Dr",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

Verify at the official NPI Registry.