Individual provider Active NPI

Oscar Blas Cataldi Jr., M.D.

  • Internal Medicine Physician
  • Fairborn, OH
National Provider Identifier
1598730657
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-08-1538-C Issued in OH
Practice address
2180 Gateway Dr
Fairborn, OH 45324-6356
Phone
(937) 208-8155
Fax
(937) 208-8140
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-08-1538-C OH Primary

Addresses

Primary practice location

2180 Gateway Dr
Fairborn, OH 45324-6356

Mailing address

2180 Gateway Dr
Fairborn, OH 45324-6356
Phone (937) 208-8155

Other identifiers 1

IdentifierTypeStateIssuer
2387279MedicaidOH

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
I20050720000024 OH Practitioner - Internal Medicine 3971530189 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Oct 1, 2021 Accepting new patients
Mvhe Inc Internal Medicine Past Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1598730657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 GATEWAY DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246356",
            "telephone_number": "937-208-8155",
            "fax_number": "937-208-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GATEWAY DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246356",
            "telephone_number": "937-208-8155",
            "fax_number": "937-208-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALDI",
        "first_name": "OSCAR",
        "middle_name": "BLAS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-08-1538-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairborn, OH

Sources for this page

Verify at the official NPI Registry.