Individual provider Active NPI

Caitlin Marie Dutro, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1578207684
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.0031758 Issued in OH
Practice address
3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984
Phone
(614) 268-8164
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN.436405 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0031758 OH Primary

Addresses

Primary practice location

3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984

Mailing address

3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984
Phone (567) 230-2860

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (567) 230-2860

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129001117 OH Practitioner - Nurse Practitioner 2769850536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 115
Akron, OH 44304-1466
Phone (330) 434-5978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.436405OHMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Oct 14, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Adult Health CurrentSince Oct 1, 2022 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Oct 14, 2024 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

95 Arch St
Ste 115
Akron, OH 44304
Phone (330) 375-6520

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

3555 Olentangy River Rd
Ste 1080
Columbus, OH 43214
Phone (614) 268-8164

Interoperability endpoints

  • Direct secure messaging: cdutro19276@copcp.medicity.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1578207684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD STE 1080",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143984",
            "telephone_number": "567-230-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD STE 1080",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143984",
            "telephone_number": "614-268-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "567-230-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTRO",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN.436405",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0031758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.