Individual provider Active NPI

Dean Gardella, MD

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1174667034
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D96465 Issued in MD
Practice address
5755 Cedar LN
Columbia, MD 21044-2912
Phone
(410) 740-7544
NPI assigned
Feb 16, 2007
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131002000218 OR Practitioner - Diagnostic Radiology 9931363520 Reassigns benefits to 2 organizations
I20170831003123 WA Practitioner - Diagnostic Radiology 9931363520 Reassigns benefits to 5 organizations
I20230712004588 MD Practitioner - Diagnostic Radiology 9931363520 Reassigns benefits to 1 organization

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
Image Guided Therapeutics IncGroup PAC ID 6608874896, 16 clinicians
Diagnostic Medical Imaging PAGroup PAC ID 7719885342, 11 clinicians

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

LicenseStateTypeSpecialty
D96465MDMDDiagnostic Radiology Physician
MD163925ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Aug 2, 2021 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince May 30, 2023 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 26, 2022 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 20, 2021 Accepting new patients
Image Guided Therapeutics, Inc. Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 20, 2021 Accepting new patients
Johns Hopkins University CurrentSince May 30, 2023 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 27, 2020 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Aug 2, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Diagnostic Medical Imaging PA Diagnostic Radiology CurrentSince Mar 15, 2023 Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Radiology Specialists of the Northwest, PC Diagnostic Radiology PastSince Aug 1, 2015 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

  • Direct secure messaging: dgardella189686@ahs.direct-ci.com
  • Direct secure messaging: 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.

View all 14

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": "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

Verify at the official NPI Registry.