Individual provider Active NPI

Dimitri E. Latoni, M.D.

  • Nuclear Medicine Physician
  • San Antonio, TX
National Provider Identifier
1285732875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
J6153 Issued in TX
Practice address
7400 Mentor Minter Blvd.
San Antonio, TX 78229-4404
Phone
(210) 617-5117
Fax
(210) 617-5207
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X J6153 TX Primary

Addresses

Primary practice location

7400 Mentor Minter Blvd.
San Antonio, TX 78229-4404

Mailing address

1454 Canyon BRK
San Antonio, TX 78248-2614
Phone (210) 493-7806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111209000532 TX Practitioner - General PracticePractitioner - Nuclear Medicine 7416122023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Nuclear Medicine
Education
Albany Medical College of Union University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Imaging PLLCGroup PAC ID 7012975527, 25 clinicians

Practice addresses (Care Compare)

1717 Rotary Dr
Humble, TX 77338-5235
Phone (281) 272-6277

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
J6153TXMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Imaging, PLLC CurrentSince Oct 5, 2011 Accepting new patients

Locations

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2019 N Frazier St
Conroe, TX 77301
Phone (936) 441-2120

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

4400 Gulf Ave
Groves, TX 77619
Phone (409) 962-5785

1717 Rotary Dr
Humble, TX 77338
Phone (817) 296-7282

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285732875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 CANYON BRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482614",
            "telephone_number": "210-493-7806",
            "fax_number": "210-493-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MENTOR MINTER BLVD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5117",
            "fax_number": "210-617-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATONI",
        "first_name": "DIMITRI",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "TX",
            "license": "J6153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.