DAVID FITKIN (MD) – Urology Physician, NPI 1164472775

DAVID FITKIN (MD) is a healthcare provider. based in Marion, Ohio. specializing in Urology Physician. They hold the professional credentials MD. They hold a License No. 35.059534 (OH). The NPI Number for DAVID FITKIN (MD) is 1164472775

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DAVID FITKIN (MD)
NPI
1164472775
Phone
(740) 383-7950
Address
1040 DELAWARE AVE
Enumeration Date
12 May 2006
Last Update Date
11 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
7403837936
Graduation Year
1984 (42 years ago)
PAC ID
8921092123
Group Practice PAC ID
1850549437
Professional Enrollment ID
I20050727001247

Contacts

Secure Messaging
dfitkin107535@direct.ohiohealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for DAVID FITKIN (MD)

  • 1040 DELAWARE AVE

    MARION, OH 433026416

    Phone: (740) 383-7950

    Fax: (740) 383-7942

    Type: Location

  • L, Columbus, Muscogee County, Georgia, 31903, United States

    COLUMBUS, OH 432600001

    Phone: (740) 383-7927

    Fax: (740) 383-7942

    Type: Mailing

  • Marion Medical Campus, 1040, Delaware Avenue, Marion, Marion Township, Marion County, Ohio, 43302, United States

    MARION, OH 433011814

    Phone: (740) 383-7950

    Fax: (740) 383-7942

    Type: Location

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: 2005-07-27

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
I20050727001247IUrologyOHTBD

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 43302)

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Provider's Procedures

DAVID FITKIN (MD) performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYOH76872Ultrasound of rectum1818

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: 1850549437View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
-OH
O P H T H A L M O L O G YOH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
General SurgeryOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference DAVID FITKIN (MD)?
For DAVID FITKIN (MD), use NPI 1164472775 as the unique 10-digit identifier.
Is there an active status for DAVID FITKIN (MD)?
For scheduling context, DAVID FITKIN (MD) is shown as active in the registry.
How would a patient describe DAVID FITKIN (MD)'s focus?
For DAVID FITKIN (MD), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is DAVID FITKIN (MD) registered?
Use Marion, Ohio as the headline location for DAVID FITKIN (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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