Active NPI
Magdy B Migally, MD
- Dermatology Physician
- Huber Heights, OH
National Provider Identifier
1992791388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35-04-3565-M
- Practice address
- 5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6138 - Phone
- (937) 233-0748
- Fax
- (937) 233-6086
- NPI assigned
- Sep 21, 2005
- Last updated
- Oct 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35-04-3565-M | OH | Primary |
Addresses
Primary practice location
5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6138
Mailing address
5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6138
Phone (937) 233-0748
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000066851 | Other | OH | ANTHEM PIN-L |
| 0470022 | Other | OH | PTAN |
| 0470024 | Other | OH | PTAN |
| 000000011390 | Other | OH | ANTHEM PIN-C |
| 0470029 | Other | OH | PTAN |
| 0735331 | Other | OH | PTAN |
| 000000011389 | Other | OH | ANTHEM PIN-U |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071128000542 | OH | Practitioner - Dermatology | 7719961150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Bends, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatric Clinic/Center
- Chillicothe, OH
- NPI 1588365001
-
dba Lima Memorial Health System
- 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": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1992791388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5212 BRANDT PIKE",
"address_2": "SUITE A",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454246138",
"telephone_number": "937-233-0748",
"fax_number": "937-233-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5212 BRANDT PIKE",
"address_2": "SUITE A",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454246138",
"telephone_number": "937-233-0748",
"fax_number": "937-233-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGALLY",
"first_name": "MAGDY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35-04-3565-M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN-L",
"identifier": "000000066851",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0470022",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0470024",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN-C",
"identifier": "000000011390",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0470029",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0735331",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN-U",
"identifier": "000000011389",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
- Meijer Stores Limited Partnership (Meijer Pharmacy #241)
- Teresa C Menart, MD
- Alyssa Leigh Taylor Merriman
- MH Huber Heights Operating, LLC (Landings of Huber Heights)
- Miami Valley Cytology
- Nabil B Migally, MD PHD
- Glynda Leigh Mikolajewski, PT
- David Lee Miles, DC
- Miller Health Care Services
- Charles Miller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.