Individual provider Active NPI

Dale W Drollinger, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1679598734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-05-0973 Issued in OH
Practice address
5676 Far Hills Avenue
Dayton, OH 45429
Phone
(937) 436-1854
Fax
(937) 436-1459
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-05-0973 OH Primary

Addresses

Primary practice location

5676 Far Hills Avenue
Dayton, OH 45429

Mailing address

5676 Far Hills Avenue
Dayton, OH 45429
Phone (937) 436-1854

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
I20040416000145 OH Practitioner - Obstetrics/Gynecology 3173518511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale W. Drollinger, M.D., IncGroup PAC ID 1759573116, 2 clinicians

Practice addresses (Care Compare)

5676 Far Hills Ave
Dayton, OH 45429-2206
Phone (937) 436-1854

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dale W. Drollinger, M.D., Inc Obstetrics & Gynecology CurrentSince Oct 1, 1987 Accepting new patients
Foot & Ankle Institute of Ohio Inc PastSince Feb 15, 2003 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

5676 Far Hills Ave
Kettering, OH 45429
Phone (937) 436-1854

Interoperability endpoints

  • Direct secure messaging: ddrollinger170475@direct.ketteringhealth.org

Organizations & group practices 3

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 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679598734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 FAR HILLS AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-436-1854",
            "fax_number": "937-436-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 FAR HILLS AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-436-1854",
            "fax_number": "937-436-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROLLINGER",
        "first_name": "DALE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-05-0973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.