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JAMES RAY EBERT MD
NPI 1568428316
Pediatrics - Adolescent Medicine in Dayton, OH

Active since April 21, 2006PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2024, Oct 10, 2023, Oct 20, 2021 and 3 more (6 updates tracked since 2019).

About James Ray Ebert Md NPPES

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

JAMES RAY EBERT MD (NPI 1568428316) is an individual adolescent medicine provider in Dayton, Ohio, licensed in Ohio (35.045009) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568428316
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameJAMES RAY EBERTCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-4000
Fax(937) 641-4500
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateApril 24, 20246 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1568428316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in OH · 35.045009
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 35.045009 (OH)
1 CHILDRENS PLZ, Dayton, OH 45404
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Other Identifiers 1

Medicaid0900083OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Ray Ebert 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 James Ebert 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 James Ebert's NPI number?

The NPI number for James Ebert is 1568428316. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is James Ebert located?

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

What is James Ebert's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is James Ebert enrolled in Medicare?

Yes. James Ebert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Ebert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ebert 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 James Ebert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ebert accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list James Ebert 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 James Ebert was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.