Individual provider Active NPI

Sara Marie Diskin

  • Pediatrics Physician
  • Beavercreek, OH
National Provider Identifier
1023464369
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35136486 Issued in OH
Practice address
1425 N Fairfield Rd Ste 130
Beavercreek, OH 45432-2674
Phone
(937) 320-1950
Fax
(937) 320-9332
NPI assigned
May 5, 2016
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35136486 OH Primary

Addresses

Primary practice location

1425 N Fairfield Rd Ste 130
Beavercreek, OH 45432-2674

Mailing address

PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-5072

Other practice location 1

9000 N Main St Ste 332
Englewood, OH 45415-1185
Phone (937) 832-7337

Other practice location 2

5501 Far Hills Ave Ste 200
Dayton, OH 45429-2203
Phone (937) 436-2866

Other identifiers 1

IdentifierTypeStateIssuer
0394543MedicaidOH

Other names 1

  • Sara Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313000908 OH Practitioner - Pediatric Medicine 8527404516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Jan 14, 2024 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Jan 20, 2024 Accepting new patients
Pediatric Associates of Dayton, Inc. Pediatrics PastSince Dec 1, 2019 Accepting new patients

Locations

1425 N Fairfield Rd
Ste 130
Beavercreek, OH 45432
Phone (937) 320-1950

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5501 Far Hills Ave
Ste 200
Dayton, OH 45429
Phone (937) 436-2866

9000 N Main St
Ste 332
Englewood, OH 45415
Phone (937) 832-7337

5450 Far Hills Ave
Ste 110
Kettering, OH 45429
Phone (937) 299-9060

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1023464369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933432",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-5072",
            "fax_number": "937-641-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N FAIRFIELD RD STE 130",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322674",
            "telephone_number": "937-320-1950",
            "fax_number": "937-320-9332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste 332",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151185",
            "country_code": "US",
            "telephone_number": "937-832-7337",
            "fax_number": "937-832-4817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Far Hills Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454292203",
            "country_code": "US",
            "telephone_number": "937-436-2866",
            "fax_number": "937-436-1468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISKIN",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35136486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0394543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.