Active NPI
John W Diehl, MD
- Sports Medicine (Family Medicine) Physician
- Bucyrus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 35089810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2994756 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080911000573 | OH | Practitioner - Sports Medicine | 1658447800 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Ohio Family Care Center Inc
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
- Bucyrus Community Hospital
- Galion Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jdiehl1147918@direct.trinity-health.org
- 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.
-
- Home Health Agency
- Galion, OH
- NPI 1649385865
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.