Individual provider Active NPI

Nishant Dagli, M.D.

  • Internal Medicine Physician
  • London, OH
National Provider Identifier
1194173864
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.138678 Issued in OH
Practice address
1072 Eagleton Blvd
Ste a
London, OH 43140-9195
Phone
(740) 852-2568
Fax
(740) 852-2583
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.138678 OH Primary

Addresses

Primary practice location

1072 Eagleton Blvd
Ste a
London, OH 43140-9195

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndagli511859@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20200930001731 OH Practitioner - Internal Medicine 8325332968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1072 Eagleton Blvd
Suite a
London, OH 43140
Phone (740) 852-2568

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2024 Accepting new patients
Dedicated Columbus Ohio, LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

50 N Wilson Rd
Columbus, OH 43204
Phone (614) 702-7915

Dept L3652
Columbus, OH 43260

1072 Eagleton Plz
Ste A
London, OH 43140
Phone (740) 852-2568

Organizations & group practices 4

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 5

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1194173864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 EAGLETON BLVD",
            "address_2": "STE A",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409195",
            "telephone_number": "740-852-2568",
            "fax_number": "740-852-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLI",
        "first_name": "NISHANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.138678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndagli511859@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "1072 Eagleton Blvd",
            "address_2": "Ste A",
            "city": "London",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431409195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.