Individual provider Active NPI

Dilto Aaron Mendoza Bello

  • Internal Medicine Physician
  • Fort Defiance, AZ
National Provider Identifier
1417542291
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME169825 Issued in FL
Practice address
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Phone
(928) 729-8000
NPI assigned
Mar 4, 2021
Reactivated
Jul 19, 2022
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME169825 FL Primary

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649

Mailing address

2715 SW 115TH Ave
Miami, FL 33165-2128
Phone (786) 326-6586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20250709001152 TX Practitioner - Internal Medicine 9739522640 Reassigns benefits to 1 organization
I20251021002618 FL Practitioner - Hospitalist 9739522640 Reassigns benefits to 1 organization
I20251117000819 TN Practitioner - Internal Medicine 9739522640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steele Creek Physician Services PCGroup PAC ID 1052818960, 35 clinicians
Tusculum Physician Services PCGroup PAC ID 7719476415, 35 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169825FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tusculum Physician Services PC Internal Medicine CurrentSince Oct 10, 2025 Accepting new patients
Dilto Aaron Mendoza Bello MD PA Internal Medicine CurrentSince Feb 6, 2025 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jun 9, 2025 Accepting new patients
Steele Creek Physician Services PC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Sep 25, 2025 Accepting new patients
Syx, Corp. PastSince Mar 1, 2021 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

Interoperability endpoints

  • Direct secure messaging: dilto.mendozabello@hca4.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.

Hospital & facility affiliations 3

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1417542291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 SW 115TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652128",
            "telephone_number": "786-326-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA BELLO",
        "first_name": "DILTO",
        "middle_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-03",
        "deactivation_date": "2022-04-06",
        "reactivation_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME169825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

Verify at the official NPI Registry.