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CLARE RITA HERLIHY MD
NPI 1407081573
Anesthesiology - Pediatric Anesthesiology in Dayton, OH

Active since May 19, 2009PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3477(937) 641-5410 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2023, Jan 6, 2021, Dec 30, 2020 and 1 more (4 updates tracked since 2017).

About Clare Rita Herlihy Md NPPES

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

CLARE RITA HERLIHY MD (NPI 1407081573) is an individual pediatric anesthesiology provider in Dayton, Ohio, licensed in Ohio (35.121362) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miamisburg.

NPPES Registry Identity

NPI1407081573
Entity TypeIndividualFemale
Primary Taxonomy207LP3000X
Provider Legal NameCLARE RITA HERLIHYCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-3477
Fax(937) 641-5410
Sole ProprietorNo
Enumeration DateMay 19, 2009
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1407081573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in OH · 35.121362
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
1 CHILDRENS PLZ, Dayton, OH 45404
Open in Google Maps ↗

Secondary Practice Location 1

Location 13333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-3880 · Fax (937) 641-6159

Other Identifiers 1

Medicaid0111199OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clare Rita Herlihy Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Clare Herlihy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children
Same address
Anesthesiology
1 CHILDREN'S PLAZA, 2 WEST
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • 54 clinicians in this Medicare group
NPI 1235627480 (513) 872-6000
Dayton Children's Specialty Physicians, Inc.
Same address
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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.

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 Clare Herlihy's NPI number?

The NPI number for Clare Herlihy is 1407081573. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Clare Herlihy located?

Clare Herlihy practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3477.

What is Clare Herlihy's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Clare Herlihy enrolled in Medicare?

Yes. Clare Herlihy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clare Herlihy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clare Herlihy reassigns Medicare benefits to 2 organizations: Shriners Hospitals For Children (Dayton, 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 Clare Herlihy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clare Herlihy accept?

Health plans from CareSource list Clare Herlihy 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 Clare Herlihy was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.