Active NPI
Dean Gardella, MD
- Diagnostic Radiology Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D96465
- Practice address
- 5755 Cedar LN
Columbia, MD 21044-2912 - Phone
- (410) 740-7544
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD163925 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA10161700 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | D96465 | MD | Primary |
Addresses
Primary practice location
5755 Cedar LN
Columbia, MD 21044-2912
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone (503) 692-1212
Other practice location 2
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-2200
Other practice location 3
2900 Daggett Ave
Klamath Falls, OR 97601-7101
Phone (541) 884-1371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Nevada School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 22ND Ave W
Seattle, WA 98199-2306
Phone (415) 750-4916
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D96465 | MD | MD | Diagnostic Radiology Physician |
| MD163925 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Johns Hopkins University | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Image Guided Therapeutics, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Medical Imaging PA | Diagnostic Radiology | Current | Accepting new patients |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients | |
| Radiology Specialists of the Northwest, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
500 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (323) 375-3950
18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
1801 W Olympic Blvd
Pasadena, CA 91199
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
2 Dole Dr
Westlake Village, CA 91362
Phone (310) 208-3100
3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-6221
2900 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 884-1371
Interoperability endpoints
- dgardella189686@ahs.direct-ci.com
- dgardella434041@direct-ucsfmedicalcenter.org
Organizations & group practices 14
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.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba Good Shepherd Medical Center
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
WA
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
-
dba Jhu - Radiology
- Body Imaging Physician
- Baltimore, MD
- NPI 1093796609
Diagnostic Radiology
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Good Shepherd Medical Group
- Pediatrics Physician
- Hermiston, OR
- NPI 1336198159
-
dba Sky Lakes Specialty Pharmacy
- Community/Retail Pharmacy
- Klamath Falls, OR
- NPI 1003654625
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Johns Hopkins Howard County Medical Center
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
dba Sequoia Hospital
- General Acute Care Hospital
- Redwood City, CA
- NPI 1568646735
-
dba UCSF Health - St. Mary's Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
dba UCSF Health Hyde Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1174667034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 CEDAR LN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442912",
"telephone_number": "410-740-7544"
}
],
"practiceLocations": [
{
"address_1": "19300 SW 65th Ave",
"address_purpose": "LOCATION",
"city": "Tualatin",
"state": "OR",
"postal_code": "970627706",
"country_code": "US",
"telephone_number": "503-692-1212",
"fax_number": "503-692-5307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011915",
"country_code": "US",
"telephone_number": "551-996-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Daggett Ave",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "976017101",
"country_code": "US",
"telephone_number": "541-884-1371",
"fax_number": "541-274-4395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDELLA",
"first_name": "DEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD163925",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA10161700",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D96465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.