Individual provider Active NPI

Samantha Miranda Younglove, DO

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1881214690
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.016989 Issued in OH
Practice address
128 E Apple St Ste 3800
Dayton, OH 45409-2902
Phone
(937) 208-2007
Fax
(937) 208-2752
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.016989 OH Primary

Addresses

Primary practice location

128 E Apple St Ste 3800
Dayton, OH 45409-2902

Mailing address

128 E Apple St Ste 3800
Dayton, OH 45409-2902
Phone (937) 208-2007

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
I20240718001094 OH Practitioner - Obstetrics/Gynecology 0345662813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

9000 N Main St
Suite 232
Englewood, OH 45415-1184
Phone (937) 278-4797

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.016989OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Aug 19, 2024 Accepting new patients
Premier Health Specialists Inc Obstetrics & Gynecology CurrentSince Aug 19, 2024 Accepting new patients
Miami Valley Hospital Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2350 Miami Valley Dr
Ste 320
Dayton, OH 45459
Phone (937) 312-1661

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 232
Englewood, OH 45415

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1881214690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E APPLE ST STE 3800",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092902",
            "telephone_number": "937-208-2007",
            "fax_number": "937-208-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E APPLE ST STE 3800",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092902",
            "telephone_number": "937-208-2007",
            "fax_number": "937-208-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGLOVE",
        "first_name": "SAMANTHA",
        "middle_name": "MIRANDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.016989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.