ALYSSA DANIELLE DROSDAK (MD) – Gastroenterology Physician, NPI 1033613500

ALYSSA DANIELLE DROSDAK (MD) is a healthcare provider. based in Newark, Ohio. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 35.150939 (OH). The NPI Number for ALYSSA DANIELLE DROSDAK (MD) is 1033613500

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA DANIELLE DROSDAK (MD)
NPI
1033613500
Phone
(220) 564-2950
Address
1717 WEST MAIN ST STE 203
Enumeration Date
20 March 2018
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2205642950
Graduation Year
2018 (8 years ago)
PAC ID
3072845569
Group Practice PAC ID
6204740731
Professional Enrollment ID
I20240910000445
Address ID
OH430551362NE1717XSTXX403

Contacts

Secure Messaging
adrosdak38752@lickingmemorial.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

864 GASTROENTEROLOGY in OH

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Provider Addresses for ALYSSA DANIELLE DROSDAK (MD)

  • 1717 WEST MAIN ST STE 203

    NEWARK, OH 43055

    Phone: (220) 564-2950

    Fax: (220) 564-2951

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-1000

    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: 2024-09-10

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
I20240910000445IGastroenterologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43055)

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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: 6204740731View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
G A S T R O E N T E R O L O G YOH
-OH
Emergency MedicineOH
-OH
Nurse PractitionerOH
-OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to ALYSSA DANIELLE DROSDAK (MD)?
NPI 1033613500 is assigned to ALYSSA DANIELLE DROSDAK (MD) under the national enumeration system.
Does this profile mean ALYSSA DANIELLE DROSDAK (MD) is currently active?
Yes — ALYSSA DANIELLE DROSDAK (MD) appears active in the national provider directory.
What kind of provider is ALYSSA DANIELLE DROSDAK (MD)?
The page reflects Gastroenterology Physician for ALYSSA DANIELLE DROSDAK (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for ALYSSA DANIELLE DROSDAK (MD)?
The page summarizes Newark, Ohio for ALYSSA DANIELLE DROSDAK (MD); expand the address list for detail.
What if Newark, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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