Individual provider Active NPI

Michael Richard Sherman, MD

  • Gastroenterology Physician
  • Dayton, OH
National Provider Identifier
1972822773
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35.134295 Issued in OH
Practice address
Wright Patterson Medical Center
4881 Sugar Maple Dr
Dayton, OH 45433
Phone
(937) 257-0837
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35.134295 OH Primary

Addresses

Primary practice location

Wright Patterson Medical Center
4881 Sugar Maple Dr
Dayton, OH 45433

Mailing address

4340 Clyo Rd Ste 200
Dayton, OH 45459-7000
Phone (937) 396-2602

Other practice location 1

4340 Clyo Rd Ste 200
Dayton, OH 45459-7000
Phone (937) 396-2602

Other identifiers 1

IdentifierTypeStateIssuer
0318714MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address digestivespecialists@directaddress.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20230626001059 UT Practitioner - Gastroenterology 7719249200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Rochester School of Medicine and Dentistry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians

Practice addresses (Care Compare)

6028 S Ridgeline Dr
Suite 201
Ogden, UT 84405-6908
Phone (801) 773-4840

Hospital & facility affiliations

  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy158
Upper gastrointestinal (GI) endoscopy for acid reflux226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Memorial Clinic CurrentSince Aug 1, 2023 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Tanner Memorial Clinic Gastroenterology CurrentSince Aug 1, 2023 Accepting new patients

Locations

1477 N 2000 W
Ste C
Clinton, UT 84015
Phone (801) 546-9441

444 W Bourne Cir
Farmington, UT 84025

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

1750 E 3100 N
Layton, UT 84040
Phone (385) 405-2252

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

2132 N Robins Dr
Ste 310
Layton, UT 84041

6028 S Ridgeline Dr
Ste 201
South Ogden, UT 84405
Phone (801) 475-5400

Interoperability endpoints

  • Direct secure messaging: michael.sherman.p1@direct.tannerclinic.nextgenshare.com

Organizations & group practices 3

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 4

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1972822773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 CLYO RD STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597000",
            "telephone_number": "937-396-2602",
            "fax_number": "937-395-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WRIGHT PATTERSON MEDICAL CENTER",
            "address_2": "4881 SUGAR MAPLE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 Clyo Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454597000",
            "country_code": "US",
            "telephone_number": "937-396-2602",
            "fax_number": "937-395-3682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.134295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318714",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "digestivespecialists@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4340 Clyo Rd Ste 200",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.