Individual provider Active NPI

Dilfuza Makhmudova

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1972269132
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030154 Issued in OH
Practice address
8701 Troy Pike Ste 20
Dayton, OH 45424-1073
Phone
(937) 237-5294
Fax
(937) 237-4748
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0030154 OH Primary

Addresses

Primary practice location

8701 Troy Pike Ste 20
Dayton, OH 45424-1073

Mailing address

8701 Old Troy Pike Ste 20
Huber Heights, OH 45424-1073

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209000000 OH Practitioner - Nurse Practitioner 6901299254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical GroupGroup PAC ID 2860386349, 29 clinicians

Practice addresses (Care Compare)

8701 Troy Pike
Suite 20
Huber Heights, OH 45424-1073
Phone (937) 237-5294

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Group, Inc. CurrentSince Dec 20, 2021 Accepting new patients
Providence Medical Group CurrentSince Dec 20, 2021 Accepting new patients

Locations

4403 W Franklin St
Ste D
Bellbrook, OH 45305
Phone (937) 848-9010

38 Woodcroft Trl
Dayton, OH 45430
Phone (937) 427-3333

1989 Miamisburg Centerville Rd
Ste 301
Dayton, OH 45459
Phone (937) 434-7353

1516 Yankee Park Pl
Dayton, OH 45458
Phone (937) 438-1115

2320 Beechwood Dr
Germantown, OH 45327
Phone (937) 895-4092

8701 Troy Pike
Ste 20
Huber Heights, OH 45424
Phone (937) 233-7146

2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996

70 Remick Blvd
Springboro, OH 45066
Phone (937) 885-0701

400 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 410-3838

4353 E State Route 73
Ste 120
Waynesville, OH 45068
Phone (513) 897-0085

Interoperability endpoints

  • Direct secure messaging: dilfuza.makhmudova.1@237.direct.athenahealth.com

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 4

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1972269132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 OLD TROY PIKE STE 20",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 TROY PIKE STE 20",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454241073",
            "telephone_number": "937-237-5294",
            "fax_number": "937-237-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHMUDOVA",
        "first_name": "DILFUZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.