Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

023055 Issued in OH

Practice address

161 Clint Dr Ste 200
Pickerington, OH 43147-7794

Phone

(614) 705-6161

Fax

(614) 705-6151

NPI assigned

Jul 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mamadoudiallo@hofhc.allscriptsdirect.net

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.

• Moon Family & Behavioral Health LLC

  • Family Medicine Physician
  • Pickerington, OH
  • NPI 1902512122
  Medicare reassignment NPD
• Holyhills Healthcare Services LLC

  • Adult Health Nurse Practitioner
  • Reynoldsburg, OH
  • NPI 1407395692
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1922594746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CLINT DR STE 200",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CLINT DR STE 200",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477794",
            "telephone_number": "614-705-6161",
            "fax_number": "614-705-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "MAMADOU",
        "middle_name": "SALIOU",
        "credential": "DNP, FNP-BC,PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-04",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP023055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton J Devlin
• Melissa Ann Devore
• Devoted Loving Care LLC
• Sagar Dhital
• Ibrahima Sory Diallo
• Oumou Salma Diallo
• Kenneth Eugene Dickinson III
• Chloe Renee Dillinger, PA-C
• Elizabeth Ann Dillon
• Jacob Dinsmore

• Family Nurse Practitioner in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.

Verify at the official NPI Registry.