Abdul A Dada, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.143240 Issued in OH

Practice address

2231 Timber TRL
Bellefontaine, OH 43311-9036

Phone

(937) 599-3115

NPI assigned

Jun 8, 2018

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Otterbein Universal Home Health & Hospice Home health agency, Bellefontaine, OH, CCN 367404
• Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Medicare reassignment Care Compare group NPD
• Mary Rutan Hospital

  dba Mary Rutan Jackson Center Family Care

  • Rural Health Clinic/Center
  • Jackson Center, OH
  • NPI 1528806510
  NPD
• Mary Rutan Hospital

  dba Mary Rutan Hospital-Physicians

  • General Practice Physician
  • Bellefontaine, OH
  • NPI 1891997169

  Family Medicine

  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mary Rutan Hospital

  dba Mad River Family Practice

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care at Home by Green Hills LLC

  dba Universal Home Health & Hospice

  • Home Health Agency
  • Bellefontaine, OH
  • NPI 1538222021
  Care Compare affiliation
• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Care Compare affiliation

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1376036970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 TIMBER TRL",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119036",
            "telephone_number": "937-599-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 E US Highway 36",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430789600",
            "country_code": "US",
            "telephone_number": "937-887-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADA",
        "first_name": "ABDUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125.072954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.143240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Crook, MA LSW
• Jessica Quantz Cullivan, MD
• Mary Katherine Culp
• Wayne Cummings, DO
• Custom Staffing Bellefontaine Inc
• Destiny Nichole Daniels
• Thomas E. Darrah, D.O.
• Chasity Ann Defibaugh
• Austin Deneff
• Mary Deskins

• Family Medicine Physician in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.

Verify at the official NPI Registry.