Dwight Anthony Dishmon, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

39198 Issued in TN

Practice address

1251 Wesley Dr
Suite 153
Memphis, TN 38116-6442

Phone

(901) 763-0200

Fax

(901) 761-4002

NPI assigned

Apr 27, 2006

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN, 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

Cardiovascular Disease (Cardiology)Also: Interventional Cardiology

Education

University of Tennessee, HSC, College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Cardiovascular InstituteGroup PAC ID 2769879352, 3 clinicians

Sunil MalhotraGroup PAC ID 9436373651, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
• St Francis Hospital Hospital, Memphis, TN, CCN 440183

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddishmon25019@mlh.direct-ci.com
• Direct secure messaging: dwightdishmon@sccpc.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DFAADD/Endpoint/DFAADD

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.

• Metropolitan Cardiovascular Institute

  dba Metro Cardio

  • Interventional Cardiology Physician
  • Memphis, TN
  • NPI 1336816388
  Medicare reassignment Care Compare group NPD Authorized official
• Sunil Malhotra

  dba Goodman Medical Clinic

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1982936126
  Medicare reassignment Care Compare group NPD
• Poplar Avenue Clinic PLLC

  • Gynecologic Oncology Physician
  • Memphis, TN
  • NPI 1124588793
  Medicare reassignment NPD
• Shotrx, LLC

  dba ShotRx Health and Wellness Solutions

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1154990943
  Medicare reassignment NPD
• Wesley Physician Services LLC

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1538200209

  Cardiovascular Disease

  Medicare reassignment NPD
• Sutherland Cardiology Clinic, P.C.

  • Specialist
  • Germantown, TN
  • NPI 1740391804
  NPD
• Weeks Cancer Center PLLC

  • Hematology & Oncology Physician
  • Memphis, TN
  • NPI 1295354926
  NPD

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

• Amisub (SFH), Inc.

  dba St. Francis Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1952326977
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital - Germantown

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450
  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1316904048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 NONCONNAH BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322108",
            "telephone_number": "901-596-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 WESLEY DR",
            "address_2": "SUITE 153",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166442",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHMON",
        "first_name": "DWIGHT",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "39198",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "39198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07222339",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3325860",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01301155",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155106001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4354768",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banani Dirghangi, M.D.
• Sally S Discenza, RN/NP
• Discovery ABA TN LLC (Treetop Therapy TN LLC)
• Dishman House
• Brooke Erin Dishmon, D.D.S.
• Christopher James Distin
• Amy Distretti, NNP
• Lauren C Ditta, M.D.
• Diversified Healthcare
• Divine Caring Home Health Inc

• Interventional Cardiology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.