Individual provider Active NPI

David Fitkin, MD

  • Urology Physician
  • Marion, OH
National Provider Identifier
1164472775
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.059534 Issued in OH
Practice address
1040 Delaware Ave
Marion, OH 43302-6416
Phone
(740) 383-7950
Fax
(740) 383-7942
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.059534 OH Primary

Addresses

Primary practice location

1040 Delaware Ave
Marion, OH 43302-6416

Mailing address

L-3652
Columbus, OH 43260-0001
Phone (740) 383-7927

Other identifiers 2

IdentifierTypeStateIssuer
0798543MedicaidOH
311098079OtherPPO NEXT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfitkin107535@direct.ohiohealth.com OhioHealth Physician Group

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
I20050727001247 OH Practitioner - Urology 8921092123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.059534OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince Oct 28, 2012 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

L3652
Columbus, OH 43260

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1164472775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L-3652",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "740-383-7927",
            "fax_number": "740-383-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026416",
            "telephone_number": "740-383-7950",
            "fax_number": "740-383-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITKIN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.059534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0798543",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO NEXT",
            "identifier": "311098079",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfitkin107535@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "1040 Delaware Ave",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.