Individual provider Active NPI

Daniel John Dilworth, MD

  • Obstetrics & Gynecology Physician
  • Troy, OH
National Provider Identifier
1336219484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35073592D Issued in OH
Practice address
3130 N Dixie Highway
Suite 203
Troy, OH 45373
Phone
(937) 339-7982
Fax
(937) 339-7842
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35073592D OH Primary

Addresses

Primary practice location

3130 N Dixie Highway
Suite 203
Troy, OH 45373

Mailing address

3130 N Dixie Highway
Suite 203
Troy, OH 45373
Phone (937) 339-7982

Other identifiers 1

IdentifierTypeStateIssuer
2314043MedicaidOH

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
I20110509000281 OH Practitioner - Obstetrics/Gynecology 7911183900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

1930 Prime CT
Suite 105
Troy, OH 45373-9045
Phone (937) 339-7982

Hospital & facility affiliations

  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35073592DOHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Care, LLC Obstetrics & Gynecology CurrentSince Jul 10, 2023 Accepting new patients
Miami County OB-GYN Associates LLC Past Accepting new patients
Fauster Cameron Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Shelby County Memorial Hospital Association Inc. Past Accepting new patients

Locations

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

1930 Prime Ct
Ste 105
Troy, OH 45373
Phone (937) 339-7982

Interoperability endpoints

  • Direct secure messaging: ddilworth1548082@direct.osumc.edu
  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4

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 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336219484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HIGHWAY",
            "address_2": "SUITE 203",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-339-7982",
            "fax_number": "937-339-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HIGHWAY",
            "address_2": "SUITE 203",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-339-7982",
            "fax_number": "937-339-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILWORTH",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35073592D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.