Individual provider Active NPI

Michael R Nill, MD FACS

  • Surgery Physician
  • Norwalk, OH
National Provider Identifier
1922047778
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.065471 Issued in OH
Practice address
272 Benedict Ave
Norwalk, OH 44857-2374
Phone
(419) 668-8101
Fax
(419) 660-2686
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.065471 OH Primary

Addresses

Primary practice location

272 Benedict Ave
Norwalk, OH 44857-2374

Mailing address

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

Other identifiers 5

IdentifierTypeStateIssuer
3004040000MedicaidWV
000000490582OtherOHANTHEM
2190294MedicaidOH
P00343382OtherOHRRMCR
000000696939OtherOHANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000307 OH Practitioner - General Surgery 8426056847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pittsburgh School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

278 Benedict Ave
Suite 650
Norwalk, OH 44857-2720
Phone (419) 668-4328

280 Benedict Ave
Suite a
Norwalk, OH 44857-2374
Phone (419) 668-8110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Hernia repair - groin (open)11
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.065471OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC CurrentSince Jun 23, 2014 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients

Locations

1265 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-1991

278 Benedict Ave
Ste 800
Norwalk, OH 44857
Phone (419) 668-5222

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

2500 W Strub Rd
Ste 310
Sandusky, OH 44870
Phone (419) 621-0158

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1922047778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-668-8101",
            "fax_number": "419-660-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-668-8101",
            "fax_number": "419-660-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILL",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.065471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004040000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000490582",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190294",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00343382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000696939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.