Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micah E Ancheta

Individual provider Surgical Critical Care Physician · NPI 1588104905

Micah E Ancheta is a General Surgery in Dayton, Ohio. Graduated from Kansas City College of Medicine and Surgery in 2017, 9 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Trained at
Kansas City College of Medicine and Surgery
Licensed in
OH
In the registry since
2017

Practice location Address checks out

30 E Apple St Ste 6258
Dayton, OH 45409-2939
Phone: (937) 208-5055
Fax: (937) 641-7079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • One Hospital Dr, Columbia, MO 65212-0001 — (573) 884-6098

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 34.018166 (OH)

Record details

NPI number1588104905
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2017
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address3170 Kettering Blvd Bldg B2nd, Moraine, OH 45439-1924

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2017 (9 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dayton