Individual provider Active NPI

Jason Dipoce, MD

  • Diagnostic Radiology Physician
  • Paradise Valley, AZ
National Provider Identifier
1205077534
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
59632 Issued in AZ
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

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59632AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn., Inc CurrentSince Jan 19, 2021 Accepting new patients
Princeton Community Hospital Assn Inc. Single Specialty CurrentSince Jan 19, 2021 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.

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

Verify at the official NPI Registry.