Individual provider Active NPI

Matthew Dale Bauer, DO

  • Infectious Disease Physician
  • Dayton, OH
National Provider Identifier
1962778688
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
34.011699 Issued in OH
Practice address
1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643
Phone
(937) 853-3650
Fax
(937) 208-6641
NPI assigned
Mar 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.011699 OH
Infectious Disease Physician 207RI0200X 34.011699 OH Primary

Addresses

Primary practice location

1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643

Mailing address

1105 Schrock Rd Ste 400
Columbus, OH 43229-1174
Phone (614) 643-6832

Other identifiers 1

IdentifierTypeStateIssuer
0231564MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL mbauer350441@direct.premierhealth.com

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
I20150714000158 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 8224266861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Internal Medicine Current Accepting new patients
The Healthcare Connection, Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2021 Accepting new patients
The Healthcare Connection, Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2021 Accepting new patients
The Healthcare Connection, Inc. Current Accepting new patients
The Healthcare Connection, Inc. CurrentSince Jun 15, 2024 Accepting new patients
The Healthcare Connection, Inc. CurrentSince Jun 15, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Equitas Health,Inc Past Accepting new patients

Locations

1401 Steffen Ave
Cincinnati, OH 45215
Phone (513) 483-3092

30 E Apple St
Ste 6221
Dayton, OH 45409
Phone (937) 208-6630

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

200 Medical Center Dr
Ste 290
Middletown, OH 45005
Phone (513) 420-4660

200 Medical Center Dr
Ste 180
Middletown, OH 45005
Phone (513) 420-8030

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

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

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

1501 Madison Rd
Fl 3
Walnut Hills, OH 45206
Phone (513) 221-7000

Interoperability endpoints

  • Direct secure messaging: matthew.bauer.1@15777.direct.athenahealth.com
  • Direct secure messaging: matthew.bauer.p7@direct.healthcareconnection.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1962778688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SCHROCK RD STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291174",
            "telephone_number": "614-643-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "937-853-3650",
            "fax_number": "937-208-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.011699",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "34.011699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231564",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "mbauer350441@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "30 E Apple St Ste 6221",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454092939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.