Individual provider Active NPI

Richard M. Donnini, D.O.

  • Interventional Pain Medicine Physician
  • Centerville, OH
National Provider Identifier
1316912413
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
34.003971 Issued in OH
Practice address
1550 Yankee Park PL
Ste a
Centerville, OH 45458-1838
Phone
(937) 439-4949
Fax
(397) 439-4948
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 34.003971 OH Primary

Addresses

Primary practice location

1550 Yankee Park PL
Ste a
Centerville, OH 45458-1838

Mailing address

1550 Yankee Park PL
Ste a
Centerville, OH 45458-1838
Phone (937) 439-4949

Other identifiers 1

IdentifierTypeStateIssuer
0782550MedicaidOH

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
I20060118000534 OH Practitioner - Pain ManagementPractitioner - General Practice 3173556297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Evaluation & Management Center of Ohio, Inc. CurrentSince Oct 1, 1989 Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients

Locations

Dept L2433
Columbus, OH 43260

1550 Yankee Park Pl
Ste A
Dayton, OH 45458
Phone (937) 439-4949

1550 Yankee Park Pl
Washington Township, OH 45458
Phone (937) 223-2911

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1316912413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "address_2": "STE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581838",
            "telephone_number": "937-439-4949",
            "fax_number": "397-439-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "address_2": "STE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581838",
            "telephone_number": "937-439-4949",
            "fax_number": "397-439-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNINI",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "34.003971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0782550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.