Active NPI
Matthew Dale Bauer, DO
- Infectious Disease Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 34.011699
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0231564 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- 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.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Internal Medicine | Current | Accepting new patients |
| The Healthcare Connection, Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| The Healthcare Connection, Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| The Healthcare Connection, Inc. | Current | Accepting new patients | |
| The Healthcare Connection, Inc. | Current | Accepting new patients | |
| The Healthcare Connection, Inc. | Current | 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
- matthew.bauer.1@15777.direct.athenahealth.com
- matthew.bauer.p7@direct.healthcareconnection.nextgenshare.com
- 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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1053337675
-
- Surgery Physician
- Troy, OH
- NPI 1831115492
-
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1154347789
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1578244687
-
- Federally Qualified Health Center (FQHC)
- Walnut Hills, OH
- NPI 1912189721
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1922024553
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1518227453
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.