NPIMap

Individual provider Active NPI

Dino Daniel Klisovic, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Dublin, OH
National Provider Identifier
1477644573
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
35078405 Issued in OH
Practice address
6655 Post Rd
Dublin, OH 43016-8214
Phone
(614) 339-8500
Fax
(614) 339-8501
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35078405 OH
Retina Specialist (Ophthalmology) Physician 207WX0107X 35078405 OH Primary

Addresses

Primary practice location

6655 Post Rd
Dublin, OH 43016-8214

Mailing address

6655 Post Rd
Dublin, OH 43016-8214
Phone (614) 339-8500

Other identifiers 3

IdentifierTypeStateIssuer
000000370725OtherOHANTHEM
7846761OtherOHAETNA
2636731MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dino.klisovicmd.p1@direct.midwestretina.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914001243 OH Practitioner - Ophthalmology 8628023017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Retina, IncGroup PAC ID 0244207074, 9 clinicians

Practice addresses (Care Compare)

159 E 2ND St
Chillicothe, OH 45601-2526
Phone (614) 339-8500

2935 Maple Ave
Zanesville, OH 43701-1487
Phone (614) 339-8500

6573 E Broad St
Suite B
Columbus, OH 43213-1509
Phone (614) 339-8500

6655 Post Rd
Dublin, OH 43016-8214
Phone (614) 339-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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 Medicine

State licenses

LicenseStateTypeSpecialty
35078405OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Retina, Inc Ophthalmology Current Accepting new patients
Midwest Retina, Inc Ophthalmology CurrentSince Jan 1, 2006 Accepting new patients

Locations

159 E 2nd St
Chillicothe, OH 45601
Phone (740) 773-6347

262 Neil Ave
Ste 330
Columbus, OH 43215

6573 E Broad St
Ste B
Columbus, OH 43213

262 Neil Ave
Columbus, OH 43215
Phone (614) 261-3724

150 Taylor Station Rd
Ste 120
Columbus, OH 43213

6655 Post Rd
Dublin, OH 43016

1462 Marion Waldo Rd
Marion, OH 43302
Phone (740) 389-5418

2935 Maple Ave
Zanesville, OH 43701
Phone (614) 233-9500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dino.klisovicmd.p1@direct.midwestretina.nextgenshare.com

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.

Hospital & facility affiliations 10

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1477644573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 POST RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168214",
            "telephone_number": "614-339-8500",
            "fax_number": "614-339-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 POST RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168214",
            "telephone_number": "614-339-8500",
            "fax_number": "614-339-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLISOVIC",
        "first_name": "DINO",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35078405",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35078405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000370725",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7846761",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2636731",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dino.klisovicmd.p1@direct.midwestretina.nextgenshare.com",
            "affiliation": "N",
            "address_1": "6655 Post Rd",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430168214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.