Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ralph Michael Captain

Peer Specialist β€’ Dayton, OH

Active NPI 1689447930 Individual Practitioner Male Practitioner
Practice location in NPPES

1 Elizabeth Pl
Dayton, OH 454173445

Call 9375204800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Elizabeth Pl

Dayton, OH 454173445

Telephone 9375204800
Organization at the Same NPPES Address or Phone
Dayton Rehabilitation Institute, Llc Facility NPI 1619966231

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Xenia, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

174 active clinicians are listed under Peer Specialist with a practice address in Dayton, OH (3,082 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0% of these 174 clinicians have the CMS telehealth indicator.

0% of these 174 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH APS.003572

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH CDCA.186820
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State Of Ohio Mental Health And Addiction Services
APS.003572 (OH)

Secondary Practice Locations

282 Stelton Rd

Xenia, OH 453855220

Phone: 9377088348

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Cherie Clark , NP

Nurse Practitioner - Family

NPI 1538625389

Nurse Practitioner

Christina Dueno , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1568813947

Advanced Practice Registered Nurse

Robert Frank , LPT

Physical Therapist

NPI 1245411552
Dr. Jan Gouda , MD

Neurological Surgery

NPI 1427163906

Doctor of Medicine (M.D.)

Dr. Andre Harris , MD

Obstetrics & Gynecology

NPI 1134192644

Doctor of Medicine (M.D.)

NPI 1467603175

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address June 17, 2024

Registered at PO BOX 212, XENIA, OH 453850212 (Tel: 9377088348)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Counselor (license number reported to NPPES: OH CDCA.186820)

βœ…
NPI Profile Active October 30, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2023

Registered at 1 ELIZABETH PL, DAYTON, OH 454173445 (Tel: 9375204800)

πŸ“
Business Mailing Address (Initial Record) October 30, 2023

Registered at 67 1/2 W 2ND ST, XENIA, OH 453853523 (Tel: 5135710649)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2023

Recorded as RALPH CAPTAIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Counselor (license number reported to NPPES: OH APS.003572)

🟒
Initial NPI Registration & Enumeration October 30, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1689447930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2023
Last Update: June 17, 2024
Sole Proprietor: No

Mailing Address

Po Box 212

Xenia, OH 453850212

Phone: 9377088348

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.