Active NPI
Dana Stuart Pfaff, MD
- Urology Physician
- Columbus, IN
National Provider Identifier
1235198227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01029357A
- Practice address
- 2475 North Park Ste 10
Columbus, IN 47203-2215 - Phone
- (812) 376-9261
- Fax
- (812) 378-9518
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01029357A | IN | Primary |
Addresses
Primary practice location
2475 North Park Ste 10
Columbus, IN 47203-2215
Mailing address
PO Box 775383
Chicago, IL 60677-5383
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000537534 | Other | ANTHEM PROVIDER NUMBER | |
| 100144870 | Medicaid | IN | |
| 11485705 | Other | IN | CAQH NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029357A | IN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1235198227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775383",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606775383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 NORTH PARK STE 10",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472032215",
"telephone_number": "812-376-9261",
"fax_number": "812-378-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAFF",
"first_name": "DANA",
"middle_name": "STUART",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01029357A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000537534",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100144870",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "11485705",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.