Michael L Dimonaco, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A-570-71 Issued in NM

Practice address

5757 Harper Drive NE
Albuquerque, NM 87109

Phone

(505) 888-5757

Fax

(505) 889-3589

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Eye Associates of New Mexico LTD

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1104868520
  Medicare reassignment NPD
• Eye Associates of New Mexico LTD

  • Optician
  • Albuquerque, NM
  • NPI 1346003241

  Ophthalmology

  NPD

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1295720621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE",
            "address_2": "SUITE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131533",
            "telephone_number": "505-828-4923",
            "fax_number": "505-213-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 HARPER DRIVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-888-5757",
            "fax_number": "505-889-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMONACO",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "A-570-71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252510",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40253",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID RAILROAD",
            "identifier": "180014477",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NM",
            "identifier": "NM004045",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Dimas
• Priscilla Dimas
• Ray Dimas
• Vincent Alexander Dimassa, MD
• Zae Dimaya
• Thomas Luigi Dimperio, PHD
• Elaina Dinallo-Escalante
• Joseph Dinallo, PHARMD
• Lillian Keleher Dineen
• Eirene Ding

• Ophthalmology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.