Active NPI
Michael Gilles
- Gerontology Clinical Nurse Specialist
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- APRN.CNS.15989
- Practice address
- 30 E Apple St Ste Nw3300
Dayton, OH 45409-2939 - Phone
- (937) 208-8394
- Fax
- (937) 208-8388
- NPI assigned
- Jun 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | RN.352635 | OH | |
| Gerontology Clinical Nurse Specialist | 364SG0600X | APRN.CNS.15989 | OH | Primary |
Addresses
Primary practice location
30 E Apple St Ste Nw3300
Dayton, OH 45409-2939
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3186
Other practice location 1
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-2723
Other practice location 2
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-2723
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Wright State University Boonshoft School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3130 N Country Rd
25A
Troy, OH 45373-1337
Phone (937) 440-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.352635 | OH | MD | Pain Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Mvhe Inc | Current | Accepting new patients | |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
2350 Miami Valley Dr
Ste 210
Centerville, OH 45459
Phone (937) 276-8320
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
9000 N Main St
Ste G-35
Englewood, OH 45415
Phone (937) 276-8320
9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400
501 Atrium Dr
Ste 201
Middletown, OH 45005
Phone (513) 974-8780
200 Medical Center Dr
Ste 300
Middletown, OH 45005
Phone (513) 423-1211
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
3130 N County Road 25A
Ste 107
Troy, OH 45373
Phone (937) 297-8253
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
dba Premier OBGyn
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
dba Advanced Ankle and Foot Specialists
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1801209143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 KETTERING BLVD BLDG B3",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391924",
"telephone_number": "937-991-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST STE NW3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
}
],
"practiceLocations": [
{
"address_1": "1 Wyoming St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-208-2723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wyoming St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-208-2723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLES",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "OH",
"license": "RN.352635",
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "OH",
"license": "APRN.CNS.15989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 13, 2018; 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.