NPIMap

Individual provider Active NPI

Victor Valdecanas Dizon, DO

  • Specialist
  • Columbus, OH
National Provider Identifier
1528110343
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34.006900 Issued in OH
Practice address
285 E State St
Suite 300
Columbus, OH 43215-4354
Phone
(614) 462-7894
Fax
(614) 884-1632
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 34.006900 OH Primary

Addresses

Primary practice location

285 E State St
Suite 300
Columbus, OH 43215-4354

Mailing address

PO Box 4
Hilliard, OH 43026-0004
Phone (614) 462-7894

Other identifiers 1

IdentifierTypeStateIssuer
2318003MedicaidOH

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
I20040915000384 OH Practitioner - General Surgery 2567439987 Reassigns benefits to 1 organization
Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians

Practice addresses (Care Compare)

477 Cooper Rd
Suite 300
Westerville, OH 43081-8057
Phone (614) 898-8808

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.006900OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Oct 15, 2015 Accepting new patients
Mount Carmel Health System CurrentSince Oct 15, 2015 Accepting new patients
Trauma Associates Inc Past Accepting new patients
Victor Dizon, D.O., Facos, Inc Past Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients
Trauma Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mount Carmel Health System Past Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

793 W State St
Ste 3
Columbus, OH 43222
Phone (440) 250-7345

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

815 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 234-9822

6150 E Broad St
#27
Columbus, OH 43213

750 Mount Carmel Mall
Ste 380
Columbus, OH 43222
Phone (614) 224-1399

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Interoperability endpoints

  • Direct secure messaging: vdizon1158295@direct.trinity-health.org

Organizations & group practices 9

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 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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1528110343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430260004",
            "telephone_number": "614-462-7894",
            "fax_number": "614-884-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E STATE ST",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154354",
            "telephone_number": "614-462-7894",
            "fax_number": "614-884-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "VICTOR",
        "middle_name": "VALDECANAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "34.006900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2318003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.