DAVID R DIDUR (DO) – Emergency Medicine Physician, NPI 1033156104

DAVID R DIDUR (DO) is a healthcare provider. based in Massillon, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 34005849 (OH). The NPI Number for DAVID R DIDUR (DO) is 1033156104

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DAVID R DIDUR (DO)
NPI
1033156104
Phone
(216) 837-7200
Address
400 AUSTIN AVE NW
Enumeration Date
31 May 2006
Last Update Date
25 February 2011

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3306741015
Graduation Year
1991 (35 years ago)
PAC ID
9133132269
Group Practice PAC ID
5496856270
Professional Enrollment ID
I20060713000159
Address ID
OH446541536MI981XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for DAVID R DIDUR (DO)

  • 400 AUSTIN AVE NW

    MASSILLON, OH 446463598

    Phone: (216) 837-7200

    Type: Location

  • South Salem Warren Road, North Jackson, Jackson Township, Mahoning County, Ohio, 44460, United States

    NORTH JACKSON, OH 44451

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060713000159IEmergency MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making150133$0
99284Emergency department visit with moderate level of medical decision making6358$0
View full utilization report →

Insurance plans in this area (ZIP 44646)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496856270View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
-NC
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineAZ
Emergency MedicineOH

Reviews

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Frequently asked questions

How do payers reference DAVID R DIDUR (DO)?
For DAVID R DIDUR (DO), use NPI 1033156104 as the unique 10-digit identifier.
Would DAVID R DIDUR (DO) appear as active to a payer?
You can treat DAVID R DIDUR (DO) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DAVID R DIDUR (DO)?
At a glance, DAVID R DIDUR (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID R DIDUR (DO)?
Travel planning: use Massillon, Ohio as the reference point for DAVID R DIDUR (DO), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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