DR. JONATHAN DAVID THACKERAY MD
NPI 1437151453
Pediatrics - Child Abuse Pediatrics in Dayton, OH

Q: What is Jonathan Thackeray's NPI number?

The NPI number for Jonathan Thackeray is 1437151453. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Jonathan Thackeray's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Active since August 10, 2005PECOS Enrolled

1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 641-3918 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2023, Oct 21, 2021, Jan 6, 2021 and 4 more (7 updates tracked since 2016).

On this page

About Dr. Jonathan David Thackeray Md NPPES

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

DR. JONATHAN DAVID THACKERAY MD (NPI 1437151453) is an individual child abuse pediatrics provider in Dayton, Ohio, licensed in Ohio (35.083628) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1437151453

Entity TypeIndividualMale

Primary Taxonomy2080C0008X

Provider Legal NameDR. JONATHAN DAVID THACKERAYCredential: MD

Location Address1 CHILDRENS PLZDayton, OH 45404-1815

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000

Phone(937) 641-4000

Fax(937) 641-3918

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateOctober 12, 20237 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1437151453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080C0008X

License✔ Licensed in OH · 35.083628

Definition

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Also ListedPediatricsTaxonomy 208000000X · License 35.083628 (OH)

1 CHILDRENS PLZ, Dayton, OH 45404

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Secondary Practice Locations 3

Location 1410 Valley StDayton, OH 45404-1843 · Phone (937) 641-4000 · Fax (937) 641-3918

Location 21010 Valley StDayton, OH 45404-2070 · Phone (937) 641-4000 · Fax (937) 641-3918

Location 3600 Buckskin TrlXenia, OH 45385-4108 · Phone (937) 641-4623 · Fax (937) 641-6138

Other Identifiers 1

Medicaid2545026OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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)

Dr. Jonathan David Thackeray 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 Reassignment

Medicare enrollment records show Jonathan Thackeray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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.

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 Jonathan Thackeray's NPI number?

The NPI number for Jonathan Thackeray is 1437151453. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Jonathan Thackeray located?

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

What is Jonathan Thackeray's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Jonathan Thackeray enrolled in Medicare?

Yes. Jonathan Thackeray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Thackeray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Thackeray reassigns Medicare benefits to Dayton Children's Specialty Physicians, Inc. (Dayton, OH). The 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 Jonathan Thackeray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Thackeray accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jonathan Thackeray 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 Jonathan Thackeray was last updated on October 12, 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.