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

Roulay Thammavong, MD

Individual provider Internal Medicine Physician · NPI 1609924984

Roulay Thammavong, MD is an Internal Medicine in Middletown, Ohio. Qualified in 2002, 24 years ago. Practices with Mvhe Inc, a 397-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York, Ohio and Pennsylvania.

Years since qualifying
24
Licensed in
NY, OH, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 N Breiel Blvd
Middletown, OH 45042-3893
Phone: (513) 424-2535
Fax: (513) 424-0363
Show map & directions

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

Additional practice locations (2)

  • 580 N St Route 741 Ste 300, Lebanon, OH 45036-6806 — (513) 974-8300
  • 577 N State Route 741, Lebanon, OH 45036-9576 — (513) 424-2535

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.093551 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 237174 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD431273 (PA)

Record details

NPI number1609924984
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address3170 Kettering Blvd Bldg B3, Moraine, OH 45439-1924

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mvhe Inc — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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