Individual provider Active NPI

Maksym Stefan Dymek, M.D.

  • Diagnostic Radiology Physician
  • Wheat Ridge, CO
National Provider Identifier
1306829684
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME91336 Issued in FL
Practice address
8300 W 38TH Ave
Wheat Ridge, CO 80033-6005
Phone
(303) 425-2015
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME91336 FL Primary

Addresses

Primary practice location

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005

Mailing address

1873 S Bellaire St
Suite 420
Denver, CO 80222-4358
Phone (303) 753-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110728000247 IN Practitioner - Diagnostic Radiology 1355393216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

915 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone (765) 463-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince May 12, 2019 Accepting new patients
RMR Investments Inc Diagnostic Radiology Past Accepting new patients
Franciscan Physician Network Past Accepting new patients

Locations

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

1201 S Main St
Ste 1
Crown Point, IN 46307

1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011

3900 St Francis Way
Ste 215
Lafayette, IN 47905
Phone (314) 548-4715

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

915 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-2424

Interoperability endpoints

  • Direct secure messaging: mdymek106689@direct.franciscanalliance.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1306829684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 S BELLAIRE ST",
            "address_2": "SUITE 420",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224358",
            "telephone_number": "303-753-1191",
            "fax_number": "303-753-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-425-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMEK",
        "first_name": "MAKSYM",
        "middle_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME91336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.