Individual provider Active NPI

Jeremy Christopher Mauldin, D.O.

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1881921062
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.011251 Issued in OH
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(937) 208-3118
NPI assigned
Nov 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34.011251 OH Primary
Diagnostic Radiology Physician 2085R0202X 1871 TN

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

PO Box 750243
Dayton, OH 45475-0243
Phone (937) 709-5051

Other practice location 1

6900 Georgia Ave NW
WRAMC - Department of Radiology
Washington, DC 20307-0003
Phone (202) 782-6945

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
I20140821001619 OH Practitioner - Diagnostic Radiology 1951531524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Physicians IncGroup PAC ID 9537060470, 62 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

1496 Roxanna New Burlington Rd
Waynesville, OH 45068-8376
Phone (937) 499-7364

2300 Miami Valley Dr
Suite 150
Centerville, OH 45459-1294
Phone (937) 293-1622

2400 Lakeview Dr
Suite 100
Beavercreek, OH 45431-2581
Phone (937) 836-7211

2400 Miami Valley Dr
Centerville, OH 45459-4774

360 W Central Ave
Springboro, OH 45066-1106
Phone (937) 208-7117

9000 N Main St
Suite G 36
Englewood, OH 45415-1183
Phone (937) 293-1622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.49 of 100Reported as group
Quality
68.11
Improvement activities
40
Cost
80.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1871TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Sep 1, 2014 Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations (25 of 37)

1244 Meadow Bridge Dr
Beavercreek, OH 45434
Phone (937) 222-3118

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

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

2649 Salem Ave
Ste 540
Dayton, OH 45406
Phone (937) 223-5201

1715 Brown St
#300
Dayton, OH 45409
Phone (937) 208-9010

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

1530 Needmore Rd
Ste 301
Dayton, OH 45414
Phone (937) 938-9960

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

1520 S Main St
Dayton, OH 45409
Phone (937) 223-1279

1222 S Patterson Blvd
Ste 360
Dayton, OH 45402
Phone (937) 496-2620

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400

9000 N Main St
Ste G
Englewood, OH 45415

9000 N Main St
Ste 100
Englewood, OH 45415

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

742 Sweitzer St
Ste 3
Greenville, OH 45331
Phone (937) 459-5941

4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

580 N State Route 741
Lebanon, OH 45036
Phone (513) 226-2357

300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

501 Atrium Dr
Middletown, OH 45005
Phone (937) 245-6320

4214 Grand Ave
Middletown, OH 45044
Phone (513) 727-8860

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1881921062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750243",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750243",
            "telephone_number": "937-709-5051",
            "fax_number": "937-709-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Georgia Ave NW",
            "address_2": "WRAMC - Department of Radiology",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070003",
            "country_code": "US",
            "telephone_number": "202-782-6945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "JEREMY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.011251",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "1871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.