Individual provider Active NPI

Dustin Thomas Lima, DO

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1427554161
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO2023-1109 Issued in NM
Practice address
MSC 10 5530 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone
(206) 543-3687
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 NM
Diagnostic Radiology Physician 2085R0202X DO2023-1109 NM Primary

Addresses

Primary practice location

MSC 10 5530 1 University of New Mexico
Albuquerque, NM 87131-0001

Mailing address

MSC 10 5530 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, WI3 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
I20240607002064 IL Practitioner - Diagnostic Radiology 0042567778 Reassigns benefits to 2 organizations
I20240904003214 IA Practitioner - Diagnostic Radiology 0042567778 Reassigns benefits to 1 organization
I20251010000911 WI Practitioner - Diagnostic Radiology 0042567778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 762-1072

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (309) 762-1072

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2023-1109NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince May 10, 2025 Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
Rockford Health Physicians PastSince May 10, 2025 Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

4480 Utica Ridge Rd
Ste 120
Bettendorf, IA 52722
Phone (563) 355-2210

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

1504 S Galena Ave
Dixon, IL 61021
Phone (815) 971-3170

7402 E Riverside Blvd
Loves Park, IL 61111
Phone (815) 226-9642

615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1427554161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 10 5530 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 10 5530 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "206-543-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA",
        "first_name": "DUSTIN",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "DO2023-1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.