Individual provider Active NPI

Linda Ellen Bailey, M.D.

  • Surgery Physician
  • Xenia, OH
National Provider Identifier
1972503357
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35047861 Issued in OH
Practice address
244 Wilson Dr
Xenia, OH 45385-1864
Phone
(937) 372-8632
Fax
(937) 341-8899
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35047861 OH Primary

Addresses

Primary practice location

244 Wilson Dr
Xenia, OH 45385-1864

Mailing address

3170 Kettering Blvd
Building B 3Rd Floor
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

2400 Lakeview Dr Ste 260
Beavercreek, OH 45431-2581
Phone (937) 372-8632

Other identifiers 1

IdentifierTypeStateIssuer
0536094MedicaidOH

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address lbailey161676@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
RESTful URL lbailey928@direct.premierhealth.com
RESTful URL lbailey928@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
I20110315000374 OH Practitioner - General Surgery 6901792969 Reassigns benefits to 1 organization

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jun 21, 2021 Accepting new patients
Premier Health Specialists Inc Surgery Current Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 21, 2021 Accepting new patients
Surgical Associates of Greene County Inc Surgery CurrentSince Jul 1, 1988 Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2400 Lakeview Dr
Ste 260B
Beavercreek, OH 45431
Phone (937) 208-3463

3359 Kemp Rd
Ste 150
Beavercreek, OH 45431
Phone (937) 372-1602

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

244 Wilson Dr
Xenia, OH 45385
Phone (937) 372-1602

Organizations & group practices 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1972503357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BUILDING B 3RD FLOOR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILSON DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851864",
            "telephone_number": "937-372-8632",
            "fax_number": "937-341-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Lakeview Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454312581",
            "country_code": "US",
            "telephone_number": "937-372-8632",
            "fax_number": "937-341-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LINDA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35047861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536094",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbailey161676@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "244 Wilson Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453851864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "244 Wilson Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453851864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "lbailey928@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "244 Wilson Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453851864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "lbailey928@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "2400 Lakeview Dr Ste 260",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454312581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.