Individual provider Active NPI

Anthony Fedele Digiannantonio, M.D.

  • Family Medicine Physician
  • Troy, OH
National Provider Identifier
1730175993
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35042619D Issued in OH
Practice address
110 S Stanfield Rd
Troy, OH 45373-2331
Phone
(937) 335-5991
Fax
(937) 440-4288
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35042619D OH Primary

Addresses

Primary practice location

110 S Stanfield Rd
Troy, OH 45373-2331

Mailing address

2790 Hickorywood Dr
Troy, OH 45373-4384
Phone (937) 339-1545

Other identifiers 1

IdentifierTypeStateIssuer
0410595MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35042619DOHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730175993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HICKORYWOOD DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734384",
            "telephone_number": "937-339-1545",
            "fax_number": "937-339-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732331",
            "telephone_number": "937-335-5991",
            "fax_number": "937-440-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIANNANTONIO",
        "first_name": "ANTHONY",
        "middle_name": "FEDELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35042619D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410595",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.