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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID NATHANIEL DHANRAJ M.D.
NPI 1104994797
Obstetrics & Gynecology in Cincinnati, OH

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
77.04/100
CMS Quality Rating
375 DIXMYTH AVE FL 3, CINCINNATI, OH 45220(513) 862-2563(513) 221-5856 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Oct 10, 2023, Jul 19, 2022 (3 updates tracked since 2022).

About Dr. David Nathaniel Dhanraj M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID NATHANIEL DHANRAJ M.D. (NPI 1104994797) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (35079853) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104994797
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DAVID NATHANIEL DHANRAJCredential: M.D.
Location Address375 DIXMYTH AVE FL 3Cincinnati, OH 45220-2475
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964 · Fax (513) 852-8525
Phone(513) 862-2563
Fax(513) 221-5856
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateDecember 1, 2006
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1104994797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35079853
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
375 DIXMYTH AVE FL 3, Cincinnati, OH 45220
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-4000 · Fax (937) 641-4500
Location 23333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-4000 · Fax (937) 641-4500

Other Identifiers 1

Medicaid2411545OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Nathaniel Dhanraj M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264474501
PECOS Enrollment IDI20050526000023
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show David Dhanraj reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth G LLC
0.1 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000
Health Specialists Of Dayton Inc
27 mi
Allergy & Immunology
4222 GRAND AVE
Middletown, OH 45044
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Premier Health Specialists Inc
  • 812 clinicians in this Medicare group
NPI 1225362536 (513) 420-4677
Dayton Children's Specialty Physicians, Inc.
48 mi
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability100
Improvement Activities40
Cost48.67

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Dhanraj's NPI number?

The NPI number for David Dhanraj is 1104994797. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is David Dhanraj located?

David Dhanraj practices at 375 Dixmyth Ave Fl 3, Cincinnati, OH 45220. The listed phone number is (513) 862-2563.

What is David Dhanraj's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is David Dhanraj enrolled in Medicare?

Yes. David Dhanraj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Dhanraj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Dhanraj reassigns Medicare benefits to 3 organizations: Trihealth G LLC (Cincinnati, OH), Health Specialists Of Dayton Inc (Middletown, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Dhanraj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Dhanraj accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list David Dhanraj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Dhanraj affiliated with any hospitals?

According to CMS data, David Dhanraj is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for David Dhanraj was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.