Individual provider Active NPI

John Andrew Fleishman, M.D.

  • Ophthalmology Physician
  • Dayton, OH
National Provider Identifier
1871558510
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35059036 Issued in OH
Practice address
1520 S Main St
Dayton, OH 45409-2698
Phone
(937) 223-1279
Fax
(937) 223-9979
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35059036 OH Primary

Addresses

Primary practice location

1520 S Main St
Dayton, OH 45409-2698

Mailing address

4148 Ridgeway Rd
Kettering, OH 45429-1640
Phone (937) 643-4049

Other identifiers 1

IdentifierTypeStateIssuer
0101535MedicaidOH

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
I20100907001129 OH Practitioner - Ophthalmology 1759323090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warwar Eye Group IncGroup PAC ID 9335161231, 3 clinicians

Practice addresses (Care Compare)

3100 Governors Place Blvd
Kettering, OH 45409-1334
Phone (937) 297-7676

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059036OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warwar Eye Group, Inc Ophthalmology CurrentSince Nov 7, 2022 Accepting new patients
Medical Center at Elizabeth Place LLC PastSince Oct 30, 2017 Accepting new patients
Associated Optical Ophthalmology Past Accepting new patients
Vandalia Optometry LLC PastSince Sep 1, 2005 Accepting new patients

Locations

3100 Governors Place Blvd
Ste 100
Kettering, OH 45409
Phone (937) 297-7676

3100 Governors Place Blvd
Kettering, OH 45409
Phone (937) 297-7676

Interoperability endpoints

  • Direct secure messaging: john.fleishman.p1@direct.kunesheyecenter.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1871558510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 RIDGEWAY RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291640",
            "telephone_number": "937-643-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-223-1279",
            "fax_number": "937-223-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHMAN",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35059036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101535",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.