Individual provider Active NPI

Elise Striebich, M.D.

  • Family Medicine Physician
  • Englewood, OH
National Provider Identifier
1780116111
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.138522 Issued in OH
Practice address
1250 W National Rd Ste 400
Englewood, OH 45315-9506
Phone
(937) 836-6000
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 35.138522 OH Primary

Addresses

Primary practice location

1250 W National Rd Ste 400
Englewood, OH 45315-9506

Mailing address

1250 W National Rd Ste 400
Englewood, OH 45315-9506
Phone (937) 836-6000

Other practice location 1

2261 Philadelphia Dr
Dayton, OH 45406-1814
Phone (937) 734-4141

Other names 1

  • Elise Gnagey Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address estriebich570508@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
I20200817003613 OH Practitioner - Family Practice 9032483342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1250 W National Rd
Suite 400
Englewood, OH 45315-9506
Phone (937) 836-6000

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.138522OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Aug 10, 2020 Accepting new patients

Locations

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Organizations & group practices 2

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 5

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1780116111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD STE 400",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159506",
            "telephone_number": "937-836-6000",
            "fax_number": "937-832-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD STE 400",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159506",
            "telephone_number": "937-836-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2261 Philadelphia Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061814",
            "country_code": "US",
            "telephone_number": "937-734-4141",
            "fax_number": "937-277-7249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRIEBICH",
        "first_name": "ELISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.138522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estriebich570508@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1250 W National Rd Ste 400",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453159506",
            "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": "1250 W National Rd Ste 400",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453159506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "GNAGEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.