Elizabeth M Dimitri, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

14885R Issued in LA

Practice address

2104 Gause Blvd W
Ste. a
Slidell, LA 70460-4130

Phone

(985) 643-4575

Fax

(985) 643-4513

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA, MS2 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 2

Specialty

Dermatology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

E. M. Dimitri, D.O. PMC.Group PAC ID 4284722059, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• E. M. Dimitri, D.O. PMC

  • Dermatology Physician
  • Slidell, LA
  • NPI 1821285974

  Dermatology, LA, MS

  Medicare reassignment Care Compare group NPD
• Dimitri Orgeron Medical, LLC

  • General Practice Physician
  • Foley, AL
  • NPI 1083059190

  General Practice

  NPD (past) Authorized official
• Shapiro Dimitri Medical, LLC

  • Dermatology Physician
  • Meridian, MS
  • NPI 1124373030

  Dermatology

  NPD (past) Authorized official
• Gulf South Medical & Surgical Institute, Inc.

  • Specialist
  • Covington, LA
  • NPI 1437320231
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ochsner Medical Center - Hancock LLC

  • General Acute Care Hospital
  • Bay Saint Louis, MS
  • NPI 1588629968

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1285700732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 GAUSE BLVD W",
            "address_2": "STE. A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604130",
            "telephone_number": "985-643-4575",
            "fax_number": "985-643-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 GAUSE BLVD W",
            "address_2": "STE. A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604130",
            "telephone_number": "985-643-4575",
            "fax_number": "985-643-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRI",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "14885R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1150126",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09685205",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Digiovanni
• Emily K Dileo
• Stacy Marie Diliberto, LCSW
• Riley Dimaggio
• Dimitri Dermatology
• Diversified Healthcare Slidell LLC Dba Northshore Living Center
• Deepak S. Dixit, M.D.
• Madhuri Deepak Dixit, MD
• Evelyn C Dobson
• Lynette M. Doby, LCSW-BACS

• All providers in Slidell, LA
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.

Verify at the official NPI Registry.