Providence Medical Group
NPI 1972533149 · Family Medicine Physician · Dayton, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Medical Group is a Family Medicine Physician organization in Dayton, OH (NPI 1972533149).
Provider details
- NPI number
- 1972533149
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Becker, Chief Operating Officer(937) 297-8999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Diabetes Educator Registered Nurse163WD0400X
Nursing Service Providers
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Frequently asked questions
- What is Providence Medical Group's NPI number?
- Providence Medical Group's National Provider Identifier (NPI) is 1972533149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical Group?
- Providence Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Medical Group located?
- Providence Medical Group's practice location on file with NPPES is 2912 Springboro Rd W, Dayton, OH 45439-1674.
- What is Providence Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical Group is (937) 297-8999.
- Does Providence Medical Group accept Medicare?
- Providence Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Medical Group?
- The authorized official listed on Providence Medical Group's NPPES record is Susan Becker, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical Group's NPI active?
- Yes — Providence Medical Group's NPI (1972533149) is active in the NPPES registry as of the last update on 2022-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.