Active NPI
Anthony Fedele Digiannantonio, M.D.
- Family Medicine Physician
- Troy, OH
National Provider Identifier
1730175993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35042619D
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0410595 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35042619D | OH | MD | Family 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.