NPIMap

Organization Active NPI

Mayfield Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Miamisburg, OH
National Provider Identifier
1780423467
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAYFIELD CLINIC INC
Practice address
55 Pinnacle Point Dr
Miamisburg, OH 45342-5015
Phone
(513) 221-1100
NPI assigned
May 22, 2024
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Michael James Radomski
Title
Cfo/VP Finance
Phone
(513) 569-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

55 Pinnacle Point Dr
Miamisburg, OH 45342-5015

Mailing address

PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805002384 OH DME Supplier - Physician - Neurosurgery 9133013006 Practice locations: Miamisburg, OH

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Number Issued in Error7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2145 Auburn Ave
Hospice Christ Hosp
Cincinnati, OH 45219
Phone (513) 665-3000

2223 Auburn Ave
Cincinnati, OH 45219
Phone (513) 369-1116

3825 Edwards Rd
Ste 300
Cincinnati, OH 45209

506 Oak St
Cincinnati, OH 45219
Phone (513) 569-5216

2990 Mack Rd
Fairfield, OH 45014
Phone (513) 774-2880

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1780423467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643398",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643398",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PINNACLE POINT DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425015",
            "telephone_number": "513-221-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "RADOMSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO/VP FINANCE",
        "authorized_official_telephone_number": "513-569-5210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.