Individual provider Active NPI

David Samuel Dinello, MD

  • Internal Medicine Physician
  • Marcellus, NY
National Provider Identifier
1174693170
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210557 Issued in NY
Practice address
2380 Cherry Valley Turnpike
Marcellus, NY 13108
Phone
(315) 673-3056
NPI assigned
Nov 8, 2006
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210557 NY Primary

Addresses

Primary practice location

2380 Cherry Valley Turnpike
Marcellus, NY 13108

Mailing address

2380 Cherry Valley Turnpike
Marcellus, NY 13108
Phone (315) 673-3056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, WV, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230707001825 FL Practitioner - Internal Medicine 2668529116
I20230712003911 MD Practitioner - Internal Medicine 2668529116 Reassigns benefits to 1 organization
I20230726002685 WV Practitioner - Internal Medicine 2668529116 Reassigns benefits to 1 organization
I20231016001277 NY Practitioner - Internal Medicine 2668529116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chess Medicine PLLCGroup PAC ID 6406260736, 16 clinicians

Practice addresses (Care Compare)

100 New Turnpike Rd
Troy, NY 12182-1412
Phone (203) 666-8145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210557NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Preventive Medical Care PLLC CurrentSince Feb 1, 2025 Accepting new patients
Chess Medicine PLLC Internal Medicine CurrentSince Oct 16, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Wellsville Manor LLC Past Accepting new patients
Northwoods Operations Associates Past Accepting new patients
Emergency Medicine Physicians of Cortland County, PLLC Past Accepting new patients
HRNC LLC Past Accepting new patients
Cayuga Ridge, LLC Past Accepting new patients
Genesee Medical, PLLC PastSince Oct 15, 2015 Accepting new patients
Btrnc, LLC Past Accepting new patients
North Medical PC Internal Medicine Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4303 14th Ave
Brooklyn, NY 11219
Phone (718) 436-7800

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

6060 Armor Rd
Orchard Park, NY 14127
Phone (716) 662-2544

7 Hemion Rd
Ste 110
Suffern, NY 10901

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellsville Manor Care CenterWellsville, NY, CCN 335661 Skilled nursing facility Adp of the SNF Oct 9, 2023
Beechtree Center for Rehabilitation and NursingIthaca, NY, CCN 335017 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2022
Apr 7, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1174693170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 CHERRY VALLEY TURNPIKE",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "13108",
            "telephone_number": "315-673-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 CHERRY VALLEY TURNPIKE",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "13108",
            "telephone_number": "315-673-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINELLO",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcellus, NY

Sources for this page

Verify at the official NPI Registry.