Individual provider Active NPI

Daniel Joe Bloch, MD

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1699714774
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
35.069738 Issued in OH
Practice address
16 W Long St
Columbus, OH 43215-2815
Phone
(614) 225-0990
NPI assigned
Jun 5, 2006
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.069738 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X 35.069738 OH Primary
Sleep Medicine (Family Medicine) Physician 207QS1201X 35069738 OH
Sleep Medicine (Family Medicine) Physician 207QS1201X 036.14811 IL

Addresses

Primary practice location

16 W Long St
Columbus, OH 43215-2815

Mailing address

16 W Long St
Columbus, OH 43215-2815
Phone (614) 225-0990

Other practice location 1

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766

Other identifiers 1

IdentifierTypeStateIssuer
0218642MedicaidOH

Other names 1

  • Daniel J Bloch Other name

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
I20061024000561 OH Practitioner - Family Practice 1850398488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.069738OHMDFamily Medicine Physician
036.14811ILMDSleep Medicine (Family Medicine) Physician
35069738OHMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allwell Behavioral Health Services Current Accepting new patients
Allwell Behavioral Health Services CurrentSince Aug 1, 2023 Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Allwell Behavioral Health Services Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Jan 14, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dedicated Sleep, LLC Sleep Medicine Past Accepting new patients

Locations

44020 Marietta Rd
Caldwell, OH 43724
Phone (740) 732-5233

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

4661 Sawmill Rd
Ste 101
Columbus, OH 43220
Phone (614) 526-3285

L3318
Columbus, OH 43260

2845 Bell St
Zanesville, OH 43701
Phone (614) 455-4147

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/allwell/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1699714774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W LONG ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152815",
            "telephone_number": "614-225-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W LONG ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152815",
            "telephone_number": "614-225-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Bell St",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011720",
            "country_code": "US",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "DANIEL",
        "middle_name": "JOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.069738",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.069738",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35069738",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036.14811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218642",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "BLOCH",
            "middle_name": "J",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.