Individual provider Active NPI

Geetha C Ambalavanan, MD

  • Family Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1780899633
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-089208 Issued in OH
Practice address
2400 Lakeview Dr Ste 100
Beavercreek, OH 45431-2581
Phone
(937) 429-4369
Fax
(937) 429-4575
NPI assigned
May 14, 2007
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 35-089208 OH Primary

Addresses

Primary practice location

2400 Lakeview Dr Ste 100
Beavercreek, OH 45431-2581

Mailing address

2400 Lakeview Dr Ste 100
Beavercreek, OH 45431-2581
Phone (937) 429-4369

Other identifiers 1

IdentifierTypeStateIssuer
2781673MedicaidOH

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
I20071017000133 OH Practitioner - Family Practice 2860588258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

2180 Gateway Dr
Fairborn, OH 45324-6356
Phone (937) 208-8155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-089208OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe, Inc CurrentSince Oct 8, 2007 Accepting new patients
Mvhe Inc CurrentSince Oct 8, 2007 Accepting new patients
Mvhe Inc Family Medicine Current Accepting new patients
Mvhe Inc Past Accepting new patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients

Locations

2400 Lakeview Dr
Ste 100
Beavercreek, OH 45431
Phone (937) 429-4369

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

2180 Gateway Dr
Fairborn, OH 45324
Phone (937) 208-8155

562 E Dayton Yellow Springs Rd
Fairborn, OH 45324
Phone (937) 318-3400

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 5

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 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1780899633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312581",
            "telephone_number": "937-429-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312581",
            "telephone_number": "937-429-4369",
            "fax_number": "937-429-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBALAVANAN",
        "first_name": "GEETHA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-089208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2781673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.