Active NPI
Diane Tallo, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Columbus, OH
National Provider Identifier
1972580181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 35-03-7692
- Practice address
- 500 Thomas LN
Suite 3-G
Columbus, OH 43214-1419 - Phone
- (614) 457-7732
- Fax
- (614) 457-4346
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35-03-7692 | OH | Primary |
Addresses
Primary practice location
500 Thomas LN
Suite 3-G
Columbus, OH 43214-1419
Mailing address
500 Thomas LN
Suite 3-G
Columbus, OH 43214-1419
Phone (614) 457-7732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0399322 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Past | Accepting new patients |
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.
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1972580181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 THOMAS LN",
"address_2": "SUITE 3-G",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141419",
"telephone_number": "614-457-7732",
"fax_number": "614-457-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 THOMAS LN",
"address_2": "SUITE 3-G",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141419",
"telephone_number": "614-457-7732",
"fax_number": "614-457-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLO",
"first_name": "DIANE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OH",
"license": "35-03-7692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0399322",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.