Mitchell Dalvin, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36 002104 Issued in OH

Practice address

1749 S Raccoon Rd
Austintown, OH 44515-4703

Phone

(330) 799-3383

Fax

(330) 799-3505

NPI assigned

Jul 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdalvin34781@direct.bsmhealth.org

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.

• Mitchell Dalvin

  • Durable Medical Equipment & Medical Supplies
  • Austintown, OH
  • NPI 1215115647

  Foot & Ankle Surgery

  NPD Authorized official
• Associates Family Foot Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Youngstown, OH
  • NPI 1720092182
  NPD (past)

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

• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1548296106
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1831600295

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1073511473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 S RACCOON RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154703",
            "telephone_number": "330-799-3383",
            "fax_number": "330-799-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 S RACCOON RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154703",
            "telephone_number": "330-799-3383",
            "fax_number": "330-799-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALVIN",
        "first_name": "MITCHELL",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36 002104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0519442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Cruz, CPT
• Jennifer Culp
• Diana Lynn Cunningham, PHYSICAL THERAPIST
• Chelsea Lynn Curran
• Shelby Nicole Dailey
• Angelina Jade Daniels
• Jamie Dattilio, CDCA
• Roman Davidenko, MD
• Kerry Davies
• Anissa Marie Davis

• Foot & Ankle Surgery Podiatrist in Austintown, OH
• Providers in Austintown, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.