Organization Active NPI

Diley Medical Group LLC

  • Internal Medicine Physician
  • Canal Winchester, OH
National Provider Identifier
1073787537
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-00-7003W Issued in FL
Legal business name
DILEY MEDICAL GROUP LLC
Practice address
7901 Diley Rd Ste 260
Canal Winchester, OH 43110-9613
Phone
(614) 920-1000
Fax
(614) 920-1007
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
David Edward Whitt, DONPI 1710961438
Title
Provider/Owner
Phone
(614) 920-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34-00-7003W FL Primary

Addresses

Primary practice location

7901 Diley Rd Ste 260
Canal Winchester, OH 43110-9613

Mailing address

7901 Diley Rd Ste 260
Canal Winchester, OH 43110-9613
Phone (614) 920-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000263 OH Part B Supplier - Clinic/Group Practice 3870662752 Receives reassigned benefits from 17 practitioners
Practice locations: Canal Winchester, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1081387Diley Medical Group LLC7901 Diley Road, Canal Whchstr, OH 43110Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

475 Hill Rd N
#C
Pickerington, OH 43147
Phone (614) 949-1377

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1073787537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109613",
            "telephone_number": "614-920-1000",
            "fax_number": "614-920-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109613",
            "telephone_number": "614-920-1000",
            "fax_number": "614-920-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILEY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "WHITT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "614-920-1000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "34-00-7003W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.