Active NPI
Dale Allyn Hume, M.D.
- Diagnostic Radiology Physician
- Chillicothe, OH
National Provider Identifier
1790866846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35-063448
- Practice address
- 47 N Plaza Blvd
Chillicothe, OH 45601-1760 - Phone
- (740) 774-1111
- Fax
- (740) 774-4074
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 11, 2009
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35-063448 | OH | Primary |
Addresses
Primary practice location
47 N Plaza Blvd
Chillicothe, OH 45601-1760
Mailing address
PO Box 1610
Chillicothe, OH 45601-5610
Phone (740) 774-1111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000006921 | Other | ANTHEM BC/BS | |
| 0879161 | Medicaid | OH | |
| 000000006921 | Other | ANTHEM BC/BS-FEDERAL | |
| 310851206015 | Other | MEDICAL MUTUAL OF OHIO | |
| 300045100 | Other | RAILROAD MEDICARE |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-063448 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scioto Valley Family Physicians Inc | Past | Accepting new patients | |
| Chillicothe Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Chillicothe, OH
- NPI 1326128018
-
- Primary Care Clinic/Center
- Chillicothe, OH
- NPI 1154652527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247270400000",
"number": "1790866846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1610",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456015610",
"telephone_number": "740-774-1111",
"fax_number": "740-774-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 N PLAZA BLVD",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456011760",
"telephone_number": "740-774-1111",
"fax_number": "740-774-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUME",
"first_name": "DALE",
"middle_name": "ALLYN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2009-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35-063448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000006921",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0879161",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS-FEDERAL",
"identifier": "000000006921",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "310851206015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300045100",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.