Individual provider Active NPI

David Philip Kallile, M.D.

  • Anesthesiology Physician
  • Delaware, OH
National Provider Identifier
1053722322
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.133336 Issued in OH
Practice address
561 W Central Ave
Delaware, OH 43015-1410
Phone
(740) 615-1000
Fax
(740) 615-2142
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.133336 OH Primary

Addresses

Primary practice location

561 W Central Ave
Delaware, OH 43015-1410

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

799 Lexington Ave
Mansfield, OH 44907-1906
Phone (419) 756-5133

Other practice location 2

1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7778

Other practice location 3

111 S Grant Ave Fl 3
Columbus, OH 43215-4701
Phone (614) 566-9871

Other identifiers 1

IdentifierTypeStateIssuer
0309618MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkallile325890@direct.ohiohealth.com OhioHealth Corporation

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
I20180809005925 OH Practitioner - Anesthesiology 4183925068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Mansfield, IncGroup PAC ID 3870486624, 26 clinicians

Practice addresses (Care Compare)

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8000

799 Lexington Ave
Mansfield, OH 44907-1906
Phone (419) 756-5133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.133336OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Mansfield, Inc Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients

Locations

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

799 Lexington Ave
Mansfield, OH 44907
Phone (419) 526-8000

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1053722322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151410",
            "telephone_number": "740-615-1000",
            "fax_number": "740-615-2142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071906",
            "country_code": "US",
            "telephone_number": "419-756-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026416",
            "country_code": "US",
            "telephone_number": "740-383-7778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Grant Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154701",
            "country_code": "US",
            "telephone_number": "614-566-9871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLILE",
        "first_name": "DAVID",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.133336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309618",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkallile325890@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Corporation",
            "address_1": "561 W Central Ave",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430151410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.