Andrew James Dittenhofer, D.O

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34.012791 Issued in OH

Practice address

1711 27TH St Ste 402
Portsmouth, OH 45662-2669

Phone

(740) 356-3562

Fax

(740) 355-6938

NPI assigned

Jul 16, 2011

Last updated

Jun 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD, IA2 enrollments

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 2

Specialty

General Surgery

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ottumwa Health Group LLCGroup PAC ID 3971629924, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089

Merit-based Incentive Payment System (MIPS)

Final score

82.59 of 100Reported as group

Quality

59.57

Promoting interoperability

100

Improvement activities

40

Cost

71.16

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dittenha@somc.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ottumwa Health Group LLC

  • Gynecology Physician
  • Ottumwa, IA
  • NPI 1386956290
  Medicare reassignment Care Compare group
• Sanford Health Network

  dba Sanford Care Center Vermillion

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280
  Medicare reassignment
• Sanford Health Network

  dba Sanford Clinic Canby

  • Rural Health Clinic/Center
  • Canby, MN
  • NPI 1437243607
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Sanford Clinic

  dba Sanford Health Adrian Clinic

  • Family Medicine Physician
  • Adrian, MN
  • NPI 1831178052

  Multi-Specialty

  NPD (past)

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

• RCHP Ottumwa LLC

  dba Ottumwa Regional Health Center

  • General Acute Care Hospital
  • Ottumwa, IA
  • NPI 1013233741
  Care Compare affiliation

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1174811764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 27TH ST STE 402",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622669",
            "telephone_number": "740-356-3562",
            "fax_number": "740-355-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Skylar Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019359",
            "country_code": "US",
            "telephone_number": "304-793-2059",
            "fax_number": "304-793-2537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTENHOFER",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-16",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.012791",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "4785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174811764",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.dittenhofer@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1711 27th St Ste 402",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corrina Dillenger, LPN
• Emma E Dillow, LSW
• Directly Affected LLC
• Directly Affected LLC
• John Francis Ditraglia, MD
• Seth Dixon, CMS
• Sherry Dixon
• John William Dobson, MD
• Richard Dodd
• Kyra Donini

• Surgery Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.