Individual provider Active NPI

Dana Michelle Moulton, M.D.

  • Obstetrics & Gynecology Physician
  • Hilliard, OH
National Provider Identifier
1396740742
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35085301 Issued in OH
Practice address
5300 Nike Dr
Hilliard, OH 43026-9813
Phone
(614) 533-6810
Fax
(614) 777-9032
NPI assigned
Jun 14, 2005
Reactivated
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 35085301 OH Primary

Addresses

Primary practice location

5300 Nike Dr
Hilliard, OH 43026-9813

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102
Phone (614) 544-6155

Other practice location 1

921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone (614) 268-8800

Other identifiers 1

IdentifierTypeStateIssuer
2580130MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmoulton33523@direct.ohiohealth.com OhioHealth Physician Group

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
I20050808000147 OH Practitioner - Obstetrics/Gynecology 1658300942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

393 E Town St
Columbus, OH 43215-4799

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-2058

5154 W Braod St
Suite 150
Columbus, OH 43228-1607
Phone (614) 566-0774

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35085301OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Obstetrics & Gynecology CurrentSince Sep 24, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 24, 2018 Accepting new patients
Professionals for Womens Health Obstetrics & Gynecology Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

921 Jasonway Ave
Ste B
Columbus, OH 43214
Phone (614) 268-3505

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5300 Nike Dr
Hilliard, OH 43026
Phone (614) 533-6810

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

484 County Line Rd W
Ste 230
Westerville, OH 43082
Phone (614) 268-8800

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1396740742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 NIKE DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269813",
            "telephone_number": "614-533-6810",
            "fax_number": "614-777-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Jasonway Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432142456",
            "country_code": "US",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-01-05",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35085301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580130",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmoulton33523@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "5300 Nike Dr",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430269813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.