Active NPI
Digestive Specialists, Inc.
- Gastroenterology Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DIGESTIVE SPECIALISTS, INC.
- Practice address
- 3220 Beaver Vu Dr
Beavercreek, OH 45434-6400 - Phone
- (937) 534-7330
- Fax
- (937) 297-2208
- NPI assigned
- Jul 17, 2007
- Last updated
- Jan 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajkamal Jit, MD
- Title
- President
- Phone
- (937) 396-2602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3220 Beaver Vu Dr
Beavercreek, OH 45434-6400
Mailing address
999 Brubaker Dr
Kettering, OH 45429-3588
Phone (937) 534-7330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2861603 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304001069 | OH | Part B Supplier - Clinic/Group Practice | 2062300809 |
Receives reassigned benefits from 43 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dayton, OH; Springboro, OH; Huber Heights, OH |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Gastroenterology Physician
- Huber Heights, OH
- NPI 1699748087
O20040304001069
National Provider Directory
National Provider DirectoryLocations
3220 Beaver Vu Dr
Beavercreek, OH 45434
Phone (937) 506-7063
4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Dayton, OH
- NPI 1669453619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390262400000",
"number": "1578762811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 BRUBAKER DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293588",
"telephone_number": "937-534-7330",
"fax_number": "937-297-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 BEAVER VU DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346400",
"telephone_number": "937-534-7330",
"fax_number": "937-297-2208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2014-01-21",
"status": "A",
"authorized_official_last_name": "JIT",
"authorized_official_first_name": "RAJKAMAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-396-2602",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2861603",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.