Active NPI
Don S Dizon, MD
- Medical Oncology Physician
- Providence, RI
National Provider Identifier
1376573394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 222651
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 274-1100
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Boston, MA
- NPI 1508187642
-
- Nephrology Physician
- Boston, MA
- NPI 1164743209
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1184661225
-
- Gynecologic Oncology Physician
- Fall River, MA
- NPI 1669590295
Gynecologic Oncology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Rochester School of Medicine and Dentistry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pratt Medical Group Inc
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
- Tufts Medical Center
- Rhode Island Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060502000347 | MA | Practitioner - Medical Oncology | 1658272711 | Reassigns benefits to 1 organization |
| I20170927002328 | RI | Practitioner - Internal Medicine | 1658272711 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222651 | MA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Pratt Medical Group, Inc | Medical Oncology | Current | Accepting new patients |
| Pratt Medical Group, Inc | Past | Accepting new patients | |
| Wih Faculty Physicians, Inc | Gynecologic Oncology | Past | Accepting new patients |
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1
Boston, MA 02111
Interoperability endpoints
- ddizon136249@tuftsmedicine.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 222651 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2019.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1376573394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DUDLEY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DUDLEY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "DON",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "222651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.