Active NPI
Dima Youssef, MD
- Infectious Disease Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD 46702
- Practice address
- 615 N State of Franklin Rd
Johnson City, TN 37604-8209 - Phone
- (423) 930-8337
- Fax
- (423) 926-1049
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD 46702 | TN | Primary |
Addresses
Primary practice location
615 N State of Franklin Rd
Johnson City, TN 37604-8209
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 930-8337
Other practice location 1
208 Medical Park Blvd
Bristol, TN 37620-7343
Phone (423) 989-4050
Other practice location 2
105 W Park Dr Ste 2A
Kingsport, TN 37660-3805
Phone (423) 930-8337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1524621 | Medicaid | TN | |
| MD 46702 | Other | TN | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- East Tennessee State University Quillen College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 W Park Dr
Suite 2a
Kingsport, TN 37660-3805
Phone (423) 930-8337
615 N State of Franklin Rd
Johnson City, TN 37604-8209
Phone (423) 930-8337
BLDG 52 Lake Dr
Mountain Home, TN 37684-0001
Phone (423) 439-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 46702 | TN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Education Assistance Corporation | Infectious Disease | Current | Accepting new patients |
Locations
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
615 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 433-6039
222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200
105 W Park Dr
Ste 2A
Kingsport, TN 37660
Phone (423) 251-6702
Organizations & group practices 1
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 ETSU Physicians and Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Infectious Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Franklin Woods Community Hospital
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
dba Ballad Health Medical Associates
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1245411255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-930-8337",
"fax_number": "423-926-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048209",
"telephone_number": "423-930-8337",
"fax_number": "423-926-1049"
}
],
"practiceLocations": [
{
"address_1": "208 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207343",
"country_code": "US",
"telephone_number": "423-989-4050",
"fax_number": "423-990-3044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 W Park Dr Ste 2A",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603805",
"country_code": "US",
"telephone_number": "423-930-8337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUSSEF",
"first_name": "DIMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TN",
"license": "MD 46702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1524621",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD 46702",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.