Organization Active NPI

Dillingham Internal Medicine LLC

  • Internal Medicine Physician
  • Falmouth, MA
National Provider Identifier
1043041346
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DILLINGHAM INTERNAL MEDICINE LLC
Practice address
100 Dillingham Ave Unit B-111
Falmouth, MA 02540-3313
Phone
(508) 934-7174
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Annemarie Armani, MDNPI 1679776736
Title
Physician / Owner
Phone
(914) 420-2399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 Dillingham Ave Unit B-111
Falmouth, MA 02540-3313

Mailing address

21 Ipswich Dr
East Falmouth, MA 02536-7174
Phone (914) 420-2399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004001098 MA Part B Supplier - Clinic/Group Practice 6305377045 Receives reassigned benefits from 1 practitioner
Practice locations: Falmouth, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2319814Dillingham Internal Medicine100 Dillingham Ave Unit B 111, Falmouth, MA 02540Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

100 Dillingham Ave
Unit B111
Falmouth, MA 02540
Phone (508) 934-7174

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1043041346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 IPSWICH DR",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025367174",
            "telephone_number": "914-420-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DILLINGHAM AVE UNIT B-111",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403313",
            "telephone_number": "508-934-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLINGHAM INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "ARMANI",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "914-420-2399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.