NPIMap

Individual provider Active NPI

Nino Diiullo, MD

  • Emergency Medicine Physician
  • Upper Arlington, OH
National Provider Identifier
1861489940
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35034834D Issued in OH
Practice address
4661 Sawmill Rd
Upper Arlington, OH 43220-6123
Phone
(614) 583-1133
NPI assigned
Oct 4, 2005
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35034834D OH Primary

Addresses

Primary practice location

4661 Sawmill Rd
Upper Arlington, OH 43220-6123

Mailing address

5900 Babbitt Rd
New Albany, OH 43054-9506
Phone (614) 855-1290

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35034834DOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Urgent Care Inc PastSince Nov 10, 1997 Accepting new patients
Americas Urgent Care of Lewis Center LLC Past Accepting new patients
Gahanna Urgent Care PastSince Nov 10, 1997 Accepting new patients
Inpatient Rehabilitation Group Inc Emergency Medicine PastSince May 1, 2006 Accepting new patients
Pine Castle Urgent Care Center PLLC Past Accepting new patients

Organizations & group practices 6

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1861489940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BABBITT RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549506",
            "telephone_number": "614-855-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4661 SAWMILL RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432206123",
            "telephone_number": "614-583-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIIULLO",
        "first_name": "NINO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35034834D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.