Individual provider Active NPI

Calixto T. Dimas, M.D.

  • Diagnostic Radiology Physician
  • Bellevue, WA
National Provider Identifier
1043302136
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD0032578 Issued in WA
Practice address
1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Phone
(425) 250-1150
Fax
(425) 823-6028
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD0032578 WA Primary

Addresses

Primary practice location

1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817

Mailing address

1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Phone (425) 250-1150

Other identifiers 1

IdentifierTypeStateIssuer
8176125MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000370 WA Practitioner - Diagnostic Radiology 8921020819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants of Washington Inc PSGroup PAC ID 6608763859, 11 clinicians

Practice addresses (Care Compare)

115 NE 100TH St
Suite 101
Seattle, WA 98125-8013
Phone (206) 524-5599

12112 115TH Ave NE
Suite B
Kirkland, WA 98034-6958
Phone (425) 821-3472

1301 4TH Ave NW
Suite 202
Issaquah, WA 98027-9371
Phone (425) 600-1054

1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Phone (425) 637-9729

220 SW 43Rd St
Renton, WA 98057-4936
Phone (425) 291-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0032578WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Washington, Inc., P.S. Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients
Radiology Consultants of Washington, Inc., P.S. Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Past Accepting new patients

Locations

1310 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 250-1145

3131 Nassau St
#102
Everett, WA 98201
Phone (425) 740-5000

12112 115th Ave NE
Kirkland, WA 98034

220 SW 43rd St
Renton, WA 98057
Phone (425) 291-9191

115 NE 100th St
Ste 101
Seattle, WA 98125
Phone (206) 524-5599

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1043302136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 116TH AVE NE",
            "address_2": "SUITE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043817",
            "telephone_number": "425-250-1150",
            "fax_number": "425-823-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 116TH AVE NE",
            "address_2": "SUITE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043817",
            "telephone_number": "425-250-1150",
            "fax_number": "425-823-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAS",
        "first_name": "CALIXTO",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD0032578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8176125",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.