Individual provider Active NPI

Darrell Fitzgerald Ballinger, DPM

  • Foot Surgery Podiatrist
  • Centerville, OH
National Provider Identifier
1285952937
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
36.003657 Issued in OH
Practice address
6438 Wilmington Pike Ste 125
Centerville, OH 45459-7033
Phone
(937) 458-0085
Fax
(937) 458-0212
NPI assigned
May 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003657 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36003657 OH
Foot Surgery Podiatrist 213ES0131X 36.003657 OH Primary

Addresses

Primary practice location

6438 Wilmington Pike Ste 125
Centerville, OH 45459-7033

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1309

Other identifiers 1

IdentifierTypeStateIssuer
0083030MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dballinger443907@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000323 OH Practitioner - Podiatry 2668611971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

425 W Grand Ave
Dayton, OH 45405-4722

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

6438 Wilmington Pike
Suite 215
Centerville, OH 45459-7034
Phone (937) 458-0085

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue111
Removal of nail tissue16
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003657OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Associates in Podiatry, Inc. Podiatrist CurrentSince Jan 1, 2019 Accepting new patients
Visiting Podiatry PLLC Podiatrist PastSince May 11, 2015 Accepting new patients
Visiting Podiatry PLLC Podiatrist Past Accepting new patients
Richmond Foot & Ankle Clinic, LLC Podiatrist Past Accepting new patients

Locations

3359 Kemp Rd
Ste 100
Beavercreek, OH 45431
Phone (937) 426-7135

6438 Wilmington Pike
Ste 215
Dayton, OH 45459
Phone (614) 718-1088

425 W Grand Ave
Ste 3002
Dayton, OH 45405
Phone (937) 223-0415

6438 Wilmington Pike
Ste 125
Dayton, OH 45459
Phone (937) 558-3077

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

415 W Harding Rd
Springfield, OH 45504
Phone (937) 399-8011

Organizations & group practices 5

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 4

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1285952937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1309",
            "fax_number": "937-522-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE STE 125",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597033",
            "telephone_number": "937-458-0085",
            "fax_number": "937-458-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "DARRELL",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-05",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003657",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003657",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36.003657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083030",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dballinger443907@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6438 Wilmington Pike Ste 125",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6438 Wilmington Pike Ste 125",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.