Dan F Bautista MD LLC
NPI 1295953933ActiveOrganization· Family Medicine· Fairborn, OH
Family Medicine in Fairborn, Ohio, registered in NPPES in April 2007. The authorized official on file is Dan Bautista, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295953933 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2007 |
| Last updated in NPPES | Sep 20, 2023 |
| Certified by provider | Sep 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35073682B | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other Family Medicine providers in Fairborn
- 1548224579
- 1063798395
- 1083179097
- 1740233279
- 1912970468
- 1356427223
- 1629006903
- 1225294176
- 1932172467
- 1124197793
- 1053758441
- 1225031099