Individual provider Active NPI

James William Augusta, D.O.

  • Surgery Physician
  • Dayton, OH
National Provider Identifier
1972858421
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34012460 Issued in OH
Practice address
7740 Washington Village Dr
Suite 110
Dayton, OH 45459-4056
Phone
(937) 439-4145
Fax
(937) 439-4371
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 31-0564121 OH
Surgery Physician 208600000X 34012460 OH Primary

Addresses

Primary practice location

7740 Washington Village Dr
Suite 110
Dayton, OH 45459-4056

Mailing address

7740 Washington Village Dr Ste 110
Dayton, OH 45459-3994
Phone (937) 439-4145

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jaugusta510272@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170608002445 OH Practitioner - General Surgery 7012155724 Reassigns benefits to 2 organizations
I20231215001828 IN Practitioner - General SurgeryPractitioner - Other (Physician) 7012155724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Metabolic and Bariatric Surgery LLCGroup PAC ID 0244383388, 8 clinicians

Practice addresses (Care Compare)

10475 Reading Rd
Suite 117
Cincinnati, OH 45241-2500
Phone (513) 559-1222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Osteopathic Hospital CurrentSince Dec 1, 2017 Accepting new patients
Center for Metabolic and Bariatric Surgery LLC CurrentSince May 17, 2021 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Dec 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Christ Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

33 E County Line Rd
Ste E
Greenwood, IN 46143
Phone (317) 300-2010

10475 Reading Rd
Ste 117
Cincinnati, OH 45241

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

2041 Stringtown Rd
Grove City, OH 43123
Phone (614) 259-6770

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

2621 Dryden Rd
Ste 301
Moraine, OH 45439
Phone (937) 280-5673

Interoperability endpoints

  • Direct secure messaging: james.augusta.1@21126.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1972858421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593994",
            "telephone_number": "937-439-4145",
            "fax_number": "937-439-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594056",
            "telephone_number": "937-439-4145",
            "fax_number": "937-439-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTA",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "31-0564121",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34012460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaugusta510272@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr",
            "address_2": "Suite 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594056",
            "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": "7740 Washington Village Dr",
            "address_2": "Suite 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.