Active NPI
Jason Dipoce, MD
- Diagnostic Radiology Physician
- Paradise Valley, AZ
National Provider Identifier
1205077534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 59632
- Practice address
- 6830 E Ironwood Dr
Paradise Valley, AZ 85253-2655 - Phone
- (914) 432-3100
- NPI assigned
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 59632 | AZ | Primary |
Addresses
Primary practice location
6830 E Ironwood Dr
Paradise Valley, AZ 85253-2655
Mailing address
6830 E Ironwood Dr
Paradise Valley, AZ 85253-2655
Phone (914) 432-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210430001099 | WV | Practitioner - Radiation Oncology | 4486800885 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59632 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Single Specialty | Current | Accepting new patients |
Locations
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
Organizations & group practices 2
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.
-
dba Mercer Medical Group
- Urology Physician
- Princeton, WV
- NPI 1093917643
Single Specialty
-
dba Bluefield Internal Medicine
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1205077534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 E IRONWOOD DR",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852532655",
"telephone_number": "914-432-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 E IRONWOOD DR",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852532655",
"telephone_number": "914-432-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPOCE",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-17",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "59632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.