Douglas I Cifuentes, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34-00-7147-C Issued in OH

Practice address

1103 Village Square Dr
Ste 100
Perrysburg, OH 43551-1762

Phone

(419) 872-3213

Fax

(419) 872-9549

NPI assigned

May 24, 2005

Last updated

Oct 30, 2017By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Ohio, Professional CorporationGroup PAC ID 3779749197, 165 clinicians

Hospital Care Group PCGroup PAC ID 7416107487, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cameron Health Hospital, Angola, IN, CCN 151315
• Akron General Medical Center Hospital, Akron, OH, CCN 360027
• Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
• Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328
• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
• Cameron Health Nursing home, CCN 15Z315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcifuentes1031414@direct.osumc.edu
• Direct secure messaging: dcifuentes67230@direct.parkviewexchange.com

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.

• Hospitalist Medicine Physicians of Ohio, Professional Corporation

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043572290
  Medicare reassignment Care Compare group NPD
• Hospital Care Group, P.C.

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1295083624

  OH

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Richland County, LTD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1639119027
  Medicare reassignment NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225

  Hospitalist

  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Ohio, LLC

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1043805690
  Medicare reassignment NPD
• Indiana University Health Ball Memorial Physicians, Inc.

  • Family Medicine Physician
  • Muncie, IN
  • NPI 1235455544

  Internal Medicine

  Medicare reassignment NPD
• Parkview Health System Inc

  dba Parkview Physicians Group

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1932130952

  Internal Medicine

  Medicare reassignment NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1386316107
  NPD
• Parkview Health System, Inc.

  dba Parkview Physicians Group

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1952411233
  NPD
• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Shelby County Memorial Hospital Association Inc.

  dba Wilson Health

  • General Acute Care Hospital
  • Sidney, OH
  • NPI 1639174204
  NPD (past)

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

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation
• Defiance Hospital Inc.

  dba Defiance Regional Medical Center

  • Critical Access Hospital
  • Defiance, OH
  • NPI 1699775726
  Care Compare affiliation
• Shelby County Memorial Hospital Association Inc.

  dba Wilson Health

  • General Acute Care Hospital
  • Sidney, OH
  • NPI 1639174204
  Care Compare affiliation
• Cameron Memorial Community Hospital, Inc.

  • Critical Access Hospital
  • Angola, IN
  • NPI 1386683316
  Care Compare affiliation
• Cameron Memorial Community Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Angola, IN
  • NPI 1457577488

  Nursing home

  Care Compare affiliation
• Parkview Hospital, Inc.

  dba Parkview Regional Medical Center

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1689677544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101",
            "telephone_number": "419-251-1963",
            "fax_number": "419-872-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR",
            "address_2": "STE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511762",
            "telephone_number": "419-872-3213",
            "fax_number": "419-872-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "DOUGLAS",
        "middle_name": "I",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-7147-C",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "02005184A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131722",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Chuhy
• Victoria Chung
• Caroline Chupurdy
• Jasmine L Church, LPCC, LICDC
• Churchills Perrysburg LTD (Walt Churchill's Market)
• Circle of Care Supportive Services
• CKC Medical Inc (Perrysburg Home Medical Equipment)
• Christopher B Clark, DDS
• Madeline Elizabeth Clark, LPC
• Stephen E. Clark, M.D.

• Internal Medicine Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.