Individual provider Active NPI

Dennis Allen Minas Fito, MD

  • Family Medicine Physician
  • Cloverdale, CA
National Provider Identifier
1346477585
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25193 Issued in OK
Practice address
6 Tarman Dr
Cloverdale, CA 95425-3932
Phone
(707) 894-4229
NPI assigned
Jun 15, 2009
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25193 OK Primary

Addresses

Primary practice location

6 Tarman Dr
Cloverdale, CA 95425-3932

Mailing address

6 Tarman Dr
Cloverdale, CA 95425-3932
Phone (707) 894-4229

Other identifiers 1

IdentifierTypeStateIssuer
200244560AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200326002127 CA Practitioner - Family Practice 7315102761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Healthconnect LLC CurrentSince Dec 24, 2023 Accepting new patients
Norcal Healthconnect LLC Current Accepting new patients
Norcal Healthconnect LLC Current Accepting new patients
North Sonoma County Health Care District Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Memorial Hospital of Texas County Authority Past Accepting new patients

Locations

1312 Prentice Dr
Healdsburg, CA 95448
Phone (707) 433-3383

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

110 Lynch Creek Way
#B
Petaluma, CA 94954
Phone (707) 522-4348

Interoperability endpoints

  • Direct secure messaging: dennis.fito@hpg.eclinicaldirectplus.com

Organizations & group practices 6

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1346477585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TARMAN DR",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253932",
            "telephone_number": "707-894-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TARMAN DR",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253932",
            "telephone_number": "707-894-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITO",
        "first_name": "DENNIS ALLEN",
        "middle_name": "MINAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200244560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloverdale, CA

Sources for this page

Verify at the official NPI Registry.