David J. Utlak, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35 -043878 Issued in OH

Practice address

4825 Higbee Ave NW Ste 102
Canton, OH 44718-2567

Phone

(330) 492-2102

Fax

(330) 492-1025

NPI assigned

Jul 19, 2005

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Ohio State University College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Canton, OH, CCN 360070
• Aultman Hospital Hospital, Canton, OH, CCN 360084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.utlak.1@19252.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19252/brand/1/csg/1/fhir/r4

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.

• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Medicare reassignment NPD
• Optimum Cardiology Inc

  • Cardiovascular Disease Physician
  • Canton, OH
  • NPI 1982168100
  Medicare reassignment NPD
• Steel Valley Diversified, Inc

  dba Steel Valley Portable X-Ray Service

  • Physiological Laboratory
  • Canton, OH
  • NPI 1982916573
  NPD
• The Union Hospital Association

  dba Union Hospital Professional Pharmacy

  • Community/Retail Pharmacy
  • Dover, OH
  • NPI 1023316700
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1548269756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 HIGBEE AVE NW STE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182567",
            "telephone_number": "330-492-2102",
            "fax_number": "330-492-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 HIGBEE AVE NW STE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182567",
            "telephone_number": "330-492-2102",
            "fax_number": "330-492-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLAK",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35 -043878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urology One Inc
• Shannon M Urton, PAC
• Usacs Medical Group of California, Inc.
• Oduware Usen, MD
• Usv Optical Inc.
• Lisa Marie Utt, PTA
• Utterback Dental Group, Inc
• Benjamin M Utterback, D.D.S.
• Joanne M Vaccani, CNS
• Dustin TG Vacha

• Cardiovascular Disease Physician in Canton, OH
• Providers in Canton, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.