Active NPI
Pavani Dantala, MD
- Internal Medicine Physician
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.095144
- Practice address
- 1 Medical Center Dr
Middletown, OH 45005-2584 - Phone
- (513) 705-4754
- Fax
- (513) 420-5156
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35095144 | OH | |
| Internal Medicine Physician | 207R00000X | 35.095144 | OH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Middletown, OH 45005-2584
Mailing address
1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 705-4754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077674 | Medicaid | OH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929000862 | OH | Practitioner - Internal Medicine | 7315063179 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mvhe IncHisey Physician Services, LLC
Practice addresses (Care Compare)
1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 705-4754
3130 N Country Rd
25A
Troy, OH 45373-1337
Phone (937) 440-4000
Hospital & facility affiliations
- Atrium Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.095144 | OH | MD | Internal Medicine Physician |
| 35095144 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Hisey Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Sinclair Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Atrium Medical Center | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Butler County, LTD | Internal Medicine | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Middletown, OH
- NPI 1073380614
Internal Medicine, OH
-
- Hospitalist Physician
- Dayton, OH
- NPI 1063289601
Internal Medicine, OH
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- Internal Medicine Physician
- Franklin, OH
- NPI 1477592319
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1902009152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450052584",
"telephone_number": "513-705-4754",
"fax_number": "513-420-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450052584",
"telephone_number": "513-705-4754",
"fax_number": "513-420-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTALA",
"first_name": "PAVANI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35095144",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.095144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077674",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.