Individual provider Active NPI

John W Diehl, MD

  • Sports Medicine (Family Medicine) Physician
  • Bucyrus, OH
National Provider Identifier
1982809273
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35089810 Issued in OH
Practice address
140 Hill St
Bucyrus, OH 44820-1566
Phone
(567) 307-7595
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X DR.0068644 CO
Sports Medicine (Family Medicine) Physician 207QS0010X 35089810 OH Primary

Addresses

Primary practice location

140 Hill St
Bucyrus, OH 44820-1566

Mailing address

700 N Columbus St
Crestline, OH 44827-1455

Other practice location 1

777 Bannock St
Denver, CO 80204-4507
Phone (303) 602-3192

Other practice location 2

5969 E Broad St
Columbus, OH 43213-1546
Phone (614) 234-7090

Other identifiers 1

IdentifierTypeStateIssuer
2994756MedicaidOH

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
I20080911000573 OH Practitioner - Sports MedicinePractitioner - Family Practice 1658447800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

140 Hill St
Suite B
Bucyrus, OH 44820-1566
Phone (419) 562-5281

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

Hospital & facility affiliations

  • Avita Home Health and Hospice Home health agency, Galion, OH, CCN 367403
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jdiehl1147918@direct.trinity-health.org
  • Direct secure messaging: jdiehl1251332@direct.osumc.edu

Organizations & group practices 1

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 3

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1982809273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HILL ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201566",
            "telephone_number": "567-307-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044507",
            "country_code": "US",
            "telephone_number": "303-602-3192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5969 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131546",
            "country_code": "US",
            "telephone_number": "614-234-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR.0068644",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35089810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2994756",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.