Individual provider Active NPI

Peter Dipiazza, DNP, BC-FNP

  • Family Nurse Practitioner
  • Upper Arlington, OH
National Provider Identifier
1033399514
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.09686-NP Issued in OH
Practice address
3924 Mountview Rd
Upper Arlington, OH 43220-4806
Phone
(614) 776-4379
Fax
(614) 569-2257
NPI assigned
Nov 13, 2007
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.09686-NP OH Primary

Addresses

Primary practice location

3924 Mountview Rd
Upper Arlington, OH 43220-4806

Mailing address

PO Box 21351
Columbus, OH 43221-0351
Phone (614) 776-4379

Other identifiers 1

IdentifierTypeStateIssuer
2828882MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000358 OH Practitioner - Nurse Practitioner 3678663929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy AllianceGroup PAC ID 0749305308, 10 clinicians

Practice addresses (Care Compare)

4660 Trueman Blvd
Hilliard, OH 43026-2438
Phone (614) 771-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.09686-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Alliance CurrentSince Sep 1, 2010 Accepting new patients
Internal Medicine and Rehabilitation Consultants LLC Past Accepting new patients
Capitol Medical Associates,LLC Past Accepting new patients
Senior Care Advantage LLC Past Accepting new patients
Clinical Care Consultants LLC Past Accepting new patients

Locations

880 Greenlawn Ave
Columbus, OH 43223
Phone (614) 445-4600

4160 Broadway
Grove City, OH 43123
Phone (614) 306-7306

4660 Trueman Blvd
Hilliard, OH 43026
Phone (614) 771-4400

677 Cooper Rd
Westerville, OH 43081
Phone (614) 452-0500

Organizations & group practices 5

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1033399514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21351",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432210351",
            "telephone_number": "614-776-4379",
            "fax_number": "614-569-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 MOUNTVIEW RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432204806",
            "telephone_number": "614-776-4379",
            "fax_number": "614-569-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIAZZA",
        "first_name": "PETER",
        "credential": "DNP, BC-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.09686-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2828882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

Verify at the official NPI Registry.