Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Douglas X Dismuke

Case Manager/Care Coordinator β€’ Toledo, OH

Active NPI 1104696608 Individual Practitioner Male Practitioner
Practice location in NPPES

3649 Revere Dr
Toledo, OH 436121032

Call 8152998765 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3649 Revere Dr

Toledo, OH 436121032

Telephone 8152998765

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Toledo and Ohio

3,148 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Toledo, OH (35,328 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Toledo

0% of these 3,148 clinicians have the CMS telehealth indicator.

0% of these 3,148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-12
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OH 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2024

Case Manager/Care Coordinator (license number reported to NPPES: OH 171M00000X)

βœ…
NPI Profile Active January 05, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 05, 2024

Registered at 3649 REVERE DR, TOLEDO, OH 436121032 (Tel: 8152998765)

πŸ“
Business Mailing Address (Initial Record) January 05, 2024

Registered at 3649 REVERE DR, TOLEDO, OH 436121032 (Tel: 8152998765)

πŸ‘€
Provider Name / Credentials (Initial Record) January 05, 2024

Recorded as DOUGLAS DISMUKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2024

Home Health Aide

🟒
Initial NPI Registration & Enumeration January 05, 2024

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1104696608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2024
Last Update: January 12, 2024
Sole Proprietor: Yes

Mailing Address

3649 Revere Dr

Toledo, OH 436121032

Phone: 8152998765

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.