Active NPI
Derrick Justin Nitsche, M.D.
- Emergency Medicine Physician
- Washington Court House, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35128596
- Practice address
- 1430 Columbus Ave
Washington Court House, OH 43160-1703 - Phone
- (740) 335-1210
- NPI assigned
- Apr 3, 2013
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35128596 | OH | Primary |
Addresses
Primary practice location
1430 Columbus Ave
Washington Court House, OH 43160-1703
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (740) 335-1210
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Texas Medical School at San Antonio, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 355-1210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osup Community Outreach LLC | Current | Accepting new patients | |
| Highland District Hospital | Current | Accepting new patients | |
| Highland District Hospital | Current | Accepting new patients |
Locations
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100
1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705
Interoperability endpoints
- derrick.nitsche@xdr.hhchealthdirect.org
- dnitsche1749923@direct.trinity-health.org
- https://epicscripts.trihealth.com/fhirproxy/api/FHIR/R4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Dublin, OH
- NPI 1699179929
-
- Critical Access Hospital
- Hillsboro, OH
- NPI 1225053119
-
- Medicare Defined Swing Bed Hospital Unit
- Hillsboro, OH
- NPI 1154699031
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hillsboro, OH
- NPI 1225053119
-
- Critical Access Hospital
- Logan, OH
- NPI 1295840007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1801139209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "740-335-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 COLUMBUS AVE",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601703",
"telephone_number": "740-335-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITSCHE",
"first_name": "DERRICK",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35128596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.