NPIMap

Individual provider Active NPI

John L Ditto, MD

  • Otolaryngology Physician
  • Colonial Heights, VA
National Provider Identifier
1083732325
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101057283 Issued in VA
Practice address
241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915
Phone
(804) 765-5320
Fax
(804) 765-5325
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101057283 VA Primary

Addresses

Primary practice location

241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 765-5320

Other identifiers 1

IdentifierTypeStateIssuer
1083732325MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000483 VA Practitioner - Otolaryngology 1153225420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Missouri, Columbia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Breathe Free Sinus and Allergy CentersGroup PAC ID 8123369121, 2 clinicians

Practice addresses (Care Compare)

4101 Cox Rd
Suite 300
Glen Allen, VA 23060-3320
Phone (804) 210-3100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Breathe Free Sinus & Allergy Centers Otolaryngology CurrentSince Sep 30, 2020 Accepting new patients
Richmond Hearing AIDS, Inc. Past Accepting new patients
Advanced Otolaryngology PC PastSince Jan 1, 2001 Accepting new patients
Henrico Surgical Specialists, LLC Past Accepting new patients
Institute of Advanced ENT Surgery LLC Otolaryngology Past Accepting new patients

Locations

3833 Fairfax Dr
Ste 400
Arlington, VA 22203
Phone (703) 908-0800

4101 Cox Rd
Ste 300
Glen Allen, VA 23060
Phone (202) 423-7825

Interoperability endpoints

  • Direct secure messaging: capitolbreathefreesinus&allergycenters.johnditto@139697.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1083732325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-765-5320",
            "fax_number": "804-765-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342915",
            "telephone_number": "804-765-5320",
            "fax_number": "804-765-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTO",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101057283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083732325",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.