MR. DYLAN PELHAM
NPI 1053775478
Social Worker in Mansfield, OH
About Mr. Dylan Pelham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DYLAN PELHAM (NPI 1053775478) is an individual social worker in Mansfield, Ohio and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Dylan Pelham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Dylan Pelham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mansfield, OH 44907
- Reassigned Medicare billing, Ohio enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dylan Pelham's NPI number?
The NPI number for Dylan Pelham is 1053775478. It was assigned to this individual provider in the NPPES registry on April 12, 2016.
Where is Dylan Pelham located?
Dylan Pelham practices at 741 Scholl Rd, Mansfield, OH 44907. The listed phone number is (419) 756-1717.
What is Dylan Pelham's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Dylan Pelham enrolled in Medicare?
Yes. Dylan Pelham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Dylan Pelham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Pelham reassigns Medicare benefits to The Center For Individual And Family Services, Inc. (Mansfield, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Pelham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dylan Pelham accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Dylan Pelham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dylan Pelham was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Dylan Pelham · NPI 1053775478
Social Worker provider in Mansfield, Ohio. Individual provider, active in the CMS NPPES registry since April 12, 2016.
## Identity
- **NPI:** 1053775478 (Entity type: Individual)
- **Enumerated:** April 12, 2016
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 741 SCHOLL RD, Mansfield, OH 44907
- **Phone:** (419) 756-1717
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Center For Individual And Family Services, Inc. (NPI 1487669222, Mansfield, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 6, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1053775478) · Data from the CMS NPPES public registry.