DR. JONATHAN EDWARDS DITTY M.D. NPI 1518316140

NPI Information

  • NPI: 1518316140
  • Provider Name: DR. JONATHAN EDWARDS DITTY, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4440 PORTAGE AVE
    SOUTH BEND, IN
    ZIP 46628
  • Phone: (574) 204-6200

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NPI Details

DR. Jonathan Edwards Ditty, M.D. is a family medicine in South Bend, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jonathan Edwards Ditty, M.D. NPI is 1518316140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4440 PORTAGE AVE
SOUTH BEND, IN
ZIP 46628-570
Phone: (574) 204-6200
Fax: (574) 239-1520

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Hemoglobin a1c level (HCPCS:83036)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Magnesium level (HCPCS:83735)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Bacterial urine culture (HCPCS:87088)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Vitamin d-3 level (HCPCS:82306)
  • Urinalysis, manual test (HCPCS:81002)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)

The enumeration date for this NPI number is 6/4/2016 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01082081AINDIANAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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