Individual provider Active NPI

Michele Lynn Flack, D.O.

  • Internal Medicine Physician
  • Miamisburg, OH
National Provider Identifier
1821053810
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.007923 Issued in OH
Practice address
4000 Miamisburg Centerville Rd
Suite 450
Miamisburg, OH 45342-3908
Phone
(937) 439-3600
Fax
(937) 439-3786
NPI assigned
Apr 20, 2006
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.007923 OH Primary

Addresses

Primary practice location

4000 Miamisburg Centerville Rd
Suite 450
Miamisburg, OH 45342-3908

Mailing address

PO Box 933300
Cleveland, OH 44193-0037
Phone (937) 439-3600

Other names 1

  • Michele Lynn Meltzer Former name

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
I20040720001081 OH Practitioner - Internal Medicine 1557341773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3718 Whisper Creek Dr
Dayton, OH 45414-2570
Phone (937) 367-4443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.007923OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Chest Medicine Inc CurrentSince Jan 23, 2013 Accepting new patients
Michele L. Flack, D.O., LLC Internal Medicine CurrentSince Mar 4, 2019 Accepting new patients
Pulmonary Medicine of Dayton Inc. Internal Medicine PastSince Feb 1, 1994 Accepting new patients
Encompass Health Rehabilitation Hospital of Dayton, LLC Past Accepting new patients

Locations

3080 Ackerman Blvd
Ste 100
Kettering, OH 45429
Phone (937) 396-1605

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

Organizations & group practices 4

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1821053810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930037",
            "telephone_number": "937-439-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 450",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423908",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACK",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.007923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "MELTZER",
            "middle_name": "LYNN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.