Individual provider Active NPI

Dylan Louis Ekstrand, DO

  • Family Medicine Physician
  • Amanda, OH
National Provider Identifier
1497259386
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58.030046 Issued in OH
Practice address
5115 Amanda Northern Rd SW
Amanda, OH 43102-9332
Phone
(740) 969-4828
Fax
(740) 969-4818
NPI assigned
Mar 23, 2018
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58.030046 OH Primary

Addresses

Primary practice location

5115 Amanda Northern Rd SW
Amanda, OH 43102-9332

Mailing address

5115 Amanda Northern Rd SW
Amanda, OH 43102-9332
Phone (740) 969-4828

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
I20210802003529 OH Practitioner - Family Practice 2567711401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

5115 Amanda Northern Rd
Amanda, OH 43102-9332
Phone (740) 969-4828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Aug 15, 2021 Accepting new patients
Union County Physician Corporation CurrentSince Jun 2, 2025 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Aug 15, 2021 Accepting new patients
Union County Physician Corporation Current Accepting new patients
Fairfield Healthcare Professionals, Inc. Family Medicine Past Accepting new patients
Fairfield Medical Center Past Accepting new patients

Locations

5115 Amanda Northern Rd SW
Amanda, OH 43102
Phone (740) 969-4121

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

2405 N Columbus St
Ste 260
Lancaster, OH 43130
Phone (740) 654-8623

2405 N Columbus St
Ste 280
Lancaster, OH 43130
Phone (740) 689-4470

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

388 Damascus Rd
Ste A
Marysville, OH 43040
Phone (937) 578-4025

Interoperability endpoints

  • Direct secure messaging: dekstrand1003941@direct.osumc.edu

Organizations & group practices 6

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 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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1497259386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 AMANDA NORTHERN RD SW",
            "city": "AMANDA",
            "state": "OH",
            "postal_code": "431029332",
            "telephone_number": "740-969-4828",
            "fax_number": "740-969-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 AMANDA NORTHERN RD SW",
            "city": "AMANDA",
            "state": "OH",
            "postal_code": "431029332",
            "telephone_number": "740-969-4828",
            "fax_number": "740-969-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKSTRAND",
        "first_name": "DYLAN",
        "middle_name": "LOUIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.030046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amanda, OH

Sources for this page

Verify at the official NPI Registry.