DR. MICHAEL TIMOTHY LOUGHLIN D.O. NPI 1003043647

Internal Medicine (Gastroenterology) in Beavercreek, OH

NPI 1003043647 Individual Male Years of Experience 13 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment

About MICHAEL LOUGHLIN

Michael Loughlin is an internal medicine provider established in Beavercreek, Ohio and his medical specialization is internal medicine (gastroenterology) with more than 13 years of experience. He graduated from Philadelphia College Of Osteopathic Medicine in 2009. The NPI number of Michael Loughlin is 1003043647 and was assigned on June 2009. The practitioner's primary taxonomy code is 207RG0100X with license number 34.013224 (OH). The provider is registered as an individual and his NPI record was last updated 4 years ago.

An internist like Dr. Michael Timothy Loughlin D.o. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Michael Loughlin is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Michael Loughlin is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Miami Valley Hospital, Soin Medical Center and Greene Memorial Hospital.

NPI

1003043647

Provider NameDR. MICHAEL TIMOTHY LOUGHLIN D.O.
Provider Location Address75 SYLVANIA DR BEAVERCREEK, OH 45440
Provider Mailing Address75 SYLVANIA DR BEAVERCREEK, OH 45440
GenderMale
NPI Entity TypeIndividual
Medical School NamePHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-22-2009
Last Update Date06-27-2018


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.34.013224
License StateOH
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DR. MICHAEL TIMOTHY LOUGHLIN D.O.
75 SYLVANIA DR
BEAVERCREEK, OH
ZIP 45440
Phone: (937) 320-5050
Fax: (937) 320-5060

Get Directions


Mailing Address

DR. MICHAEL TIMOTHY LOUGHLIN D.O.
75 SYLVANIA DR
BEAVERCREEK, OH
ZIP 45440
Phone: (937) 320-5050
Fax: (937) 320-5060



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9931345386
PECOS Enrollment IDI20180718000606
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Loughlin is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MIAMI VALLEY HOSPITALONE WYOMING STREET
DAYTON, OH 45409
(937) 208-3023Acute Care Hospitals360051
SOIN MEDICAL CENTER3535 PENTAGON PARK BLVD
BEAVER CREEK, OH 45431
(937) 702-4000Acute Care Hospitals360360
GREENE MEMORIAL HOSPITAL1141 NORTH MONROE DRIVE
XENIA, OH 45385
(937) 352-2000Acute Care Hospitals360026

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0267665MEDICAID (05)OH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306808001DIGESTIVECARE, INC.
Organization
Internal Medicine (Gastroenterology)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1851599070MR. DOUGLAS CHARLES CASERTA FNP-BC, CNP
Individual
Nurse Practitioner (Acute Care)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1568747913DG ANESTHESIA LLC
Organization
Clinic/Center (Ambulatory Surgical)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1831171420DR. LARRY W WEPRIN M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1801871157DR. JAVAD KARDAN M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1346215613 MARK J WALSH M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1235105875 LISA M STONE M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1508831991 GREGORY J BECK M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1598730517 WILLIAM C M WILSON M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1912295684DG ANESTHESIA, LLC
Organization
Anesthesiology75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1073889101 RHONDA S ARNOLD ACNP
Individual
Nurse Practitioner75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1609810100 CONSTANCE M COX CRNA
Individual
Nurse Anesthetist, Certified Registered75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1326535303DAYTON GASTROENTEROLOGY, INC.
Organization
Pharmacy (Community/Retail Pharmacy)75 SYLVANIA DR SUITE B
BEAVERCREEK, OH 45440
(844) 926-8244
1154305357DR. DONALD R LUTTER M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
DAYTON, OH 45440
(937) 320-5050
1295295657 JESSICA RENEE BLEDSOE
Individual
Nurse Practitioner75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1508173568 MAURICIO DANIEL CARBALLO M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1457352940DR. ILYAS IKRAMUDDIN D.O.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1669468690DR. AARON L. KNOLL MD
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1043292923DR. MICHAEL W GORSKY M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050
1235114075DR. PIUSH GUPTA M.D.
Individual
Internal Medicine (Gastroenterology)75 SYLVANIA DR
BEAVERCREEK, OH 45440
(937) 320-5050

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.