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DR. ELIZABETH ANN BACON D.O.
NPI 1205816303
Pediatrics - Pediatric Pulmonology in Dayton, OH

Active since January 17, 2006PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 11, 2025, Oct 6, 2023, Oct 15, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Elizabeth Ann Bacon D.o. NPPES

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

DR. ELIZABETH ANN BACON D.O. (NPI 1205816303) is an individual pediatric pulmonology provider in Dayton, Ohio, licensed in Ohio (34.009107) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205816303
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameDR. ELIZABETH ANN BACONCredential: D.O.
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-4000
Fax(937) 641-4500
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateNovember 11, 20256 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1205816303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in OH · 34.009107
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
1 CHILDRENS PLZ, Dayton, OH 45404
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Secondary Practice Locations 2

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 641-4000
Location 21644 N Limestone StSpringfield, OH 45503-2652 · Phone (937) 641-4000 · Fax (937) 641-4500

Other Identifiers 1

Medicaid0064748OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Ann Bacon D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
MISS SAUNDRA D ZERBE FNP
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600

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 Elizabeth Bacon's NPI number?

The NPI number for Elizabeth Bacon is 1205816303. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Elizabeth Bacon located?

Elizabeth Bacon practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-4000.

What is Elizabeth Bacon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Elizabeth Bacon enrolled in Medicare?

Yes. Elizabeth Bacon is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Bacon accept?

Health plans from CareSource and MedMutual list Elizabeth Bacon 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Bacon was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.