DOUGLAS J DEPROFIO PA NPI 1871587071

NPI Information

  • NPI: 1871587071
  • Provider Name: DOUGLAS J DEPROFIO, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 931 CHATHAM LN
    COLUMBUS, OH
    ZIP 43221
  • Phone: (614) 533-5500

Map and Directions

Get Directions

NPI Details

Douglas J Deprofio, PA is a surgical physician assistant in Columbus, OH with 24 years of experience. Douglas J Deprofio, PA NPI is 1871587071. 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:

931 CHATHAM LN
COLUMBUS, OH
ZIP 43221-417
Phone: (614) 533-5500
Fax: (614) 533-5593

The NPI 1871587071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Fusion of additional segment of spine (HCPCS:22614)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Fusion of additional segment of spine with partial removal of spine bone and disc (HCPCS:22634)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63053)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
  • Fusion of sacroiliac joint obtaining bone graft open procedure (HCPCS:27280)
  • Placement of stabilizing device to back, 7-12 spine bone segments (HCPCS:22843)
  • Fusion of spine in upper back (HCPCS:22610)

The enumeration date for this NPI number is 9/2/2005 and was last updated on 1/25/2022.

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
1363AS0400XPhysician AssistantSurgical50-001909OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10068078MEDICAIDOHIO

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.