Kelsey Jeanne Dirutigliano, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.004940RX Issued in OH

Practice address

800 East Broad Street
Columbus, OH 43205-1015

Phone

(614) 252-8300

Fax

(614) 252-6637

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kelsey Jeanne Graf Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Heart Group, Inc.Group PAC ID 2264424134, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grant Medical Center Hospital, Columbus, OH, CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

83.49

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ohio Heart Group, Inc.

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1730114851
  Medicare reassignment Care Compare group
• Ohio Heart Group, Inc

  • Cardiovascular Disease Physician
  • Newark, OH
  • NPI 1740625847
  NPD (past)
• Ohio Heart Group, Inc.

  • Cardiovascular Disease Physician
  • Westerville, OH
  • NPI 1851681811
  NPD (past)

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

• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149
  Care Compare affiliation

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1215474853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST BROAD STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051015",
            "telephone_number": "614-252-8300",
            "fax_number": "614-252-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST BROAD STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051015",
            "telephone_number": "614-252-8300",
            "fax_number": "614-252-6637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Westerview Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812680",
            "country_code": "US",
            "telephone_number": "614-899-1200",
            "fax_number": "614-899-9065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 W Main St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551821",
            "country_code": "US",
            "telephone_number": "740-348-0012",
            "fax_number": "740-348-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Wilke Pl",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432307209",
            "country_code": "US",
            "telephone_number": "740-352-5845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIRUTIGLIANO",
        "first_name": "KELSEY",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004940RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004940RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223382",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "GRAF",
            "middle_name": "JEANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Dirks, D.O.
• Whitnie Anderson Dirnberg
• Jennifer Dirr, LISW
• Raya Evani Dirrig
• Coady Nicholas Dirutigliano, PA-C
• Diana Joanna Disabato
• Disability and Occupational Consultants, LLC
• Disability Support Systems of Ohio,LLC
• Daniel Patrick Disalvo, CNP
• Mia Disanto, APRN-CNP

• Medical Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.