Active NPI
Daniel Goncalves Dajusta, M.D.
- Pediatric Urology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 35123696
- Practice address
- 555 S 18TH St
Columbus, OH 43205-2654 - Phone
- (614) 722-6200
- NPI assigned
- Oct 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35123696 | OH | |
| Pediatric Urology Physician | 2088P0231X | 35123696 | OH | Primary |
Addresses
Primary practice location
555 S 18TH St
Columbus, OH 43205-2654
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 1
740 Adair Ave
Zanesville, OH 43701-2838
Phone (614) 722-2000
Other practice location 2
7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-6200
Other practice location 3
536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-6200
Other practice location 4
6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-6200
Other practice location 5
4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 722-6200
Other practice location 6
830 W High St
Lima, OH 45801-3971
Phone (614) 722-6200
Other practice location 7
700 Childrens Dr
Timken H 118
Columbus, OH 43205-2664
Phone (614) 722-4823
Other practice location 8
5675 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-6200
Other practice location 9
455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-6200
Other practice location 10
405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 722-2000
Other practice location 11
2213 Cherry St
Toledo, OH 43608-2603
Phone (614) 722-6200
Other practice location 12
2222 Cherry St Ste 1800
Toledo, OH 43608-2679
Phone (419) 251-8027
Other practice location 13
26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2000
Other practice location 14
1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-4000
Other practice location 15
7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-6200
Other practice location 16
8930 Ohio River Rd
Wheelersburg, OH 45694-1922
Phone (614) 722-6200
Other practice location 17
730 W Market St
Lima, OH 45801-4602
Phone (614) 722-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0106231 | Medicaid | OH | |
| 7100171090 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140805001729 | OH | Practitioner - Urology | 9335310952 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35123696 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pediatric Specialists, LLC | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Urology | Current | Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Promedica Children'S Specialists | Current | Accepting new patients | |
| Osu Urology, LLC | Urology | Current | Accepting new patients |
| Nationwide Children'S Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Univeristy Urology, PLLC | Urology | Past | Accepting new patients |
Locations (25 of 28)
Dept 781629
Detroit, MI 48278
26 Hospital Dr
Athens, OH 45701
Phone (614) 722-2530
7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050
915 Olentangy River Rd
Columbus, OH 43212
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
300 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3276
700 Childrens Dr
#118
Columbus, OH 43205
Phone (614) 722-4823
6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100
700 Childrens Dr
Bldg 3
Columbus, OH 43205
555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554
405 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 722-4200
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900
5675 Venture Dr
Dublin, OH 43017
Phone (614) 355-9580
4363 All Seasons Dr
Hilliard, OH 43026
Phone (614) 355-5900
830 W High St
Lima, OH 45801
Phone (419) 226-9694
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200
2222 Cherry St
Ste 1800
Toledo, OH 43608
Phone (419) 251-4300
2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
Interoperability endpoints
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
- ddajusta204692@direct.bsmhealth.org
Organizations & group practices 12
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.
-
- Pediatric Surgery Physician
- Columbus, OH
- NPI 1417905324
OH
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
OH, Urology
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1447061262
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1134152986
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Children'S Surgical Associates, Corporation
Practice addresses (Care Compare)
700 Children'S Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
700 Childrens Dr
Columbus, OH 43205-2664
Hospital & facility affiliations
- Nationwide Children'S Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1265620132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 18TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052654",
"telephone_number": "614-722-6200"
}
],
"practiceLocations": [
{
"address_1": "740 Adair Ave",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437012838",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 Diley Rd",
"address_purpose": "LOCATION",
"city": "Canal Winchester",
"state": "OH",
"postal_code": "431109612",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "536 S Trimble Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063418",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6435 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432131507",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4363 All Seasons Dr",
"address_purpose": "LOCATION",
"city": "Hilliard",
"state": "OH",
"postal_code": "430262050",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 W High St",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458013971",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_2": "Timken H 118",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-4823",
"fax_number": "614-722-2980",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5675 Venture Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172159",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Executive Campus Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828870",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154985",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Cherry St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082603",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 Cherry St Ste 1800",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082679",
"country_code": "US",
"telephone_number": "419-251-8027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012471",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041815",
"country_code": "US",
"telephone_number": "937-641-4000",
"fax_number": "937-641-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7853 Pacer Dr",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430157571",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8930 Ohio River Rd",
"address_purpose": "LOCATION",
"city": "Wheelersburg",
"state": "OH",
"postal_code": "456941922",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 W Market St",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458014602",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAJUSTA",
"first_name": "DANIEL",
"middle_name": "GONCALVES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35123696",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "OH",
"license": "35123696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0106231",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100171090",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.