Active NPI
Digestive Specialists, Inc.
- Gastroenterology Physician
- Xenia, OH
National Provider Identifier
1457500308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DIGESTIVE SPECIALISTS, INC.
- Practice address
- 1157 N Monroe Dr Ste 230
Xenia, OH 45385-1699 - Phone
- (937) 293-2169
- Fax
- (937) 395-3682
- NPI assigned
- Sep 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda K Smith
- Title
- Admin Assistant
- Phone
- (937) 293-4424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1157 N Monroe Dr Ste 230
Xenia, OH 45385-1699
Mailing address
999 Brubaker Dr
Kettering, OH 45429-3588
Phone (937) 293-4424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2861587 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304001069 | OH | Part B Supplier - Clinic/Group Practice | 2062300809 |
Receives reassigned benefits from 43 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dayton, OH; Springboro, OH; Huber Heights, OH |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Gastroenterology Physician
- Huber Heights, OH
- NPI 1699748087
O20040304001069
-
- Gastroenterology Physician
- Beavercreek, OH
- NPI 1578762811
O20040304001069
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225843200000",
"number": "1457500308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 BRUBAKER DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293588",
"telephone_number": "937-293-4424",
"fax_number": "937-395-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 N MONROE DR STE 230",
"city": "XENIA",
"state": "OH",
"postal_code": "453851699",
"telephone_number": "937-293-2169",
"fax_number": "937-395-3682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-16",
"last_updated": "2008-11-05",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMIN ASSISTANT",
"authorized_official_telephone_number": "937-293-4424"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2861587",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.