NPIMap

Individual provider Active NPI

Ma Joy Sandra Buenafe Dionisio, M.D.

  • Internal Medicine Physician
  • Berea, KY
National Provider Identifier
1255317244
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33358 Issued in KY
Practice address
104 Legacy Dr
Berea, KY 40403-9594
Phone
(859) 986-2323
Fax
(859) 986-7728
NPI assigned
Dec 21, 2005
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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 33358 KY Primary

Addresses

Primary practice location

104 Legacy Dr
Berea, KY 40403-9594

Mailing address

1010 Main St S
MC Kee, KY 40447-7089
Phone (606) 287-7104

Other identifiers 1

IdentifierTypeStateIssuer
64333586MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000474 KY Practitioner - Internal Medicine 8729158639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Help IncorporatedGroup PAC ID 8224946561, 43 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

104 Legacy Dr
Berea, KY 40403-9594
Phone (858) 986-2323

116 Meridian Way
Suite 9
Richmond, KY 40475-2876
Phone (859) 623-6334

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

649 Meyers Baker Rd
Suite 102
London, KY 40741-3006
Phone (606) 864-7316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33358KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated CurrentSince Oct 21, 1997 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated CurrentSince Oct 21, 1997 Accepting new patients
Health Help Incorporated Current Accepting new patients
Hospice Care Plus, Inc PastSince May 21, 2023 Accepting new patients
Health Help Inc Past Accepting new patients

Locations

104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665

1010 Main St S
McKee, KY 40447
Phone (606) 287-7104

Organizations & group practices 7

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 8

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1255317244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "606-287-7104",
            "fax_number": "606-287-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LEGACY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039594",
            "telephone_number": "859-986-2323",
            "fax_number": "859-986-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONISIO",
        "first_name": "MA JOY SANDRA",
        "middle_name": "BUENAFE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64333586",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.