Active NPI
Sarah Dimino, M.D.
- Family Medicine Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61153958
- Practice address
- 3901 Hoyt Ave
Everett, WA 98201-4988 - Phone
- (425) 259-0966
- NPI assigned
- May 18, 2016
- Last updated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MED-PHYS-LIC-80432 | MT | |
| Family Medicine Physician | 207Q00000X | ME143056 | FL | |
| Family Medicine Physician | 207Q00000X | 01084505A | IN | |
| Family Medicine Physician | 207Q00000X | MD61153958 | WA | Primary |
Addresses
Primary practice location
3901 Hoyt Ave
Everett, WA 98201-4988
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8431
Other practice location 1
2025 Virginia Ave
Connersville, IN 47331-2971
Phone (765) 827-8064
Other practice location 2
11651 SW 64th Ave
Pinecrest, FL 33156-4805
Phone (305) 979-4150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Douglas, Grant, Lincoln and Okanogan Counties Public Hospital District
Practice addresses (Care Compare)
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME143056 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Single Specialty | Current | Accepting new patients |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Past | Accepting new patients | |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Past | Accepting new patients |
Locations
411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
-
- Family Medicine Physician
- Grand Coulee, WA
- NPI 1265422935
Single Specialty
-
dba Coulee Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Grand Coulee, WA
- NPI 1699851840
-
dba Coulee Medical Center
- Rural Health Clinic/Center
- Grand Coulee, WA
- NPI 1457420218
-
dba Coulee Medical Center
- Rural Health Clinic/Center
- Coulee City, WA
- NPI 1720169048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1154778223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-304-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014988",
"telephone_number": "425-259-0966"
}
],
"practiceLocations": [
{
"address_1": "2025 Virginia Ave",
"address_purpose": "LOCATION",
"city": "Connersville",
"state": "IN",
"postal_code": "473312971",
"country_code": "US",
"telephone_number": "765-827-8064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11651 SW 64th Ave",
"address_purpose": "LOCATION",
"city": "Pinecrest",
"state": "FL",
"postal_code": "331564805",
"country_code": "US",
"telephone_number": "305-979-4150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMINO",
"first_name": "SARAH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-80432",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME143056",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01084505A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61153958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.