NPIMap

Organization Active NPI

Digestive Specialists Inc

  • Gastroenterology Physician
  • Beavercreek, OH
National Provider Identifier
1174761571
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE SPECIALISTS INC
Practice address
3359 Kemp Rd
Beavercreek, OH 45431-2565
Phone
(937) 293-4424
Fax
(937) 395-3682
NPI assigned
Jan 23, 2009
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Ramesh K Gandhi, MDNPI 1275514663
Title
President
Phone
(937) 313-0082

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3359 Kemp Rd
Beavercreek, OH 45431-2565

Mailing address

999 Brubaker Dr
Kettering, OH 45429-3588
Phone (937) 293-4424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304001069 OH Part B Supplier - Clinic/Group Practice 2062300809 Receives reassigned benefits from 43 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dayton, OH; Springboro, OH; Huber Heights, OH

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1244 Meadow Bridge Dr
Ste 100
Beavercreek, OH 45434
Phone (937) 208-7600

2145 N Fairfield Rd
Beavercreek, OH 45431
Phone (937) 558-3900

7707 Paragon Rd
Ste 102
Centerville, OH 45459
Phone (937) 208-6975

30 E Apple St
Ste 5255
Dayton, OH 45409
Phone (937) 208-3995

7211 N Main St
Ste 5
Dayton, OH 45415
Phone (937) 279-0019

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1174761571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BRUBAKER DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293588",
            "telephone_number": "937-293-4424",
            "fax_number": "937-395-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 KEMP RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312565",
            "telephone_number": "937-293-4424",
            "fax_number": "937-395-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-313-0082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.