Renee Raimondi Deweese, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

200000394 Issued in NC

Practice address

Summit Crossing Place
Ste 106
Gastonia, NC 28054

Phone

(704) 867-8021

Fax

(704) 864-4606

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 8

Other names 1

• Renee Michelle Raimondi Former name

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Meridian Medical LLCGroup PAC ID 5092766352, 17 clinicians

Chesapeake Diagnostic Imaging Centers LLCGroup PAC ID 3678524576, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

34.03 of 100Reported as group

Quality

22.39

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chesapeake Diagnostic Imaging Centers, LLC

  dba Chesapeake Regional Imaging Center of Kingsborough

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1922056241
  Medicare reassignment Care Compare group NPD
• First Meridian Medical LLC

  dba MRI CT Diagnostics

  • Specialist
  • Virginia Beach, VA
  • NPI 1194176149
  Medicare reassignment Care Compare group NPD
• Gaston Radiology PA

  • Diagnostic Radiology Physician
  • Gastonia, NC
  • NPI 1356324487
  Medicare reassignment NPD
• Hampton Roads Orthopaedic & Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • Newport News, VA
  • NPI 1790719300
  Medicare reassignment
• Gaston Radiology

  • Diagnostic Radiology Physician
  • Gastonia, NC
  • NPI 1932435609
  NPD
• Chesapeake Diagnostic Imaging Centers, LLC

  dba Chesapeake Regional Imaging Center of Kempsville

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1174851711
  NPD
• First Meridian Medical LLC

  dba MRI & CT Diagnostics

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1881677425
  NPD
• Hampton Roads Orthopaedic & Sports Medicine LLC

  dba Open Multi-Positional MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Newport News, VA
  • NPI 1669526711
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1023096781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SUMMIT CROSSING PL",
            "address_2": "STE 106",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542176",
            "telephone_number": "704-867-8021",
            "fax_number": "704-864-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUMMIT CROSSING PLACE",
            "address_2": "STE 106",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-867-8021",
            "fax_number": "704-864-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEESE",
        "first_name": "RENEE",
        "middle_name": "RAIMONDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "200000394",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200000394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7543124",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126JU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1643188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2353072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300110411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "126JU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "37295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "97384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "RAIMONDI",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Labayo Desamero, FNP
• James Desart, LPC-A
• Heidi Carmel Descalzi, FNP
• Destiny & Miracle LLC
• Haley Noelle Devoe, CRNA
• Gunjan Dhawan, OTR/L
• Birat Dhungel, M.D.
• Natalie Grace Di Blasi, LCSWA
• Diagon Theraputic LLC
• Fatoumata Diallo, PMHNP

• Neuroradiology Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Neuroradiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.