Digestive Disease Consultants – Specialist, NPI 1134345705
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Digestive Disease Consultants
4360 Fulton Dr NW Ste B
Canton, OH 447182878
Phone: (330) 305-2020
Type: Location
1299 Industrial Pkwy N Ste 110
Brunswick, OH 442126366
Phone: (330) 225-6468
Type: Location
9000 N Main St Ste 405
Englewood, OH 454151170
Phone: (937) 320-5050
Type: Location
75 SYLVANIA DR
DAYTON, OH 454403237
Phone: (937) 320-5050
Fax: (937) 320-5060
Type: Mailing
1299 Industrial Pkwy N Ste 120
Brunswick, OH 442126366
Phone: (330) 225-6468
Type: Location
8877 Mentor Ave
Mentor, OH 440606211
Phone: (440) 205-1225
Type: Location
415 Byers Rd Ste 100
Miamisburg, OH 453423684
Phone: (937) 320-5050
Type: Location
4200 Indian Ripple Rd
Beavercreek, OH 454403248
Phone: (937) 320-5050
Type: Location
1299 Industrial Pkwy N Ste 210
Brunswick, OH 442126366
Phone: (330) 225-6468
Type: Location
500 E Royalton Rd Ste 100
Broadview Heights, OH 441472592
Phone: (330) 225-6468
Type: Location
9614 Old Johnnycake Ridge Rd
Concord Township, OH 440606521
Phone: (440) 205-1225
Type: Location
1299 Industrial Pkwy N Ste 290
Brunswick, OH 442126367
Phone: (330) 225-6468
Type: Location
3985 Medina Rd Ste 120
Medina, OH 442565968
Phone: (330) 225-6468
Type: Location
ONE GI CREDENTIALING DEPARTMENT
PO BOX 381468
GERMANTOWN, TN 38183
Phone:
Type: Mailing
2020 EXETER RD
GERMANTOWN, TN 381383237
Phone: (901) 737-4665
Fax: (901) 328-1355
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: 2003-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (616 days ago).
Enrollment records
1
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031204000041 | O | Clinic/Group Practice | OH | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 44718)
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