Individual provider Active NPI

Isabella Maria Dimaso, PA-C

  • Physician Assistant
  • Sebastian, FL
National Provider Identifier
1124456116
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107570 Issued in FL
Practice address
13230 US Highway 1
Sebastian, FL 32958-3748
Phone
(772) 589-0300
Fax
(772) 589-4550
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107570 FL Primary

Addresses

Primary practice location

13230 US Highway 1
Sebastian, FL 32958-3748

Mailing address

13230 US Highway 1
Sebastian, FL 32958-3748
Phone (772) 589-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131115000317 FL Practitioner - Physician Assistant 3476789702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuya PAGroup PAC ID 8123281003, 4 clinicians

Practice addresses (Care Compare)

13230 US Hwy 1
Sebastian, FL 32958-3748
Phone (772) 589-0300

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Mederi Caretenders Home health agency, Vero Beach, FL, CCN 107036
  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9107570FLMDPhysician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1124456116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13230 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583748",
            "telephone_number": "772-589-0300",
            "fax_number": "772-589-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13230 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583748",
            "telephone_number": "772-589-0300",
            "fax_number": "772-589-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMASO",
        "first_name": "ISABELLA",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.