Individual provider Active NPI

Nora Mattea Mehlman Dumont, MD

  • Pediatrics Physician
  • Brawley, CA
National Provider Identifier
1427587013
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
306046-01 Issued in NY
Practice address
900 Main St
Brawley, CA 92227-2630
Phone
(760) 344-6471
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C201202 CA
Pediatrics Physician 208000000X 51141 SC
Pediatrics Physician 208000000X 306046-01 NY Primary

Addresses

Primary practice location

900 Main St
Brawley, CA 92227-2630

Mailing address

215 Danbury Cir N
Rochester, NY 14618-2748
Phone (843) 518-3958

Other practice location 1

165 Ashley Ave # Msc917
Charleston, SC 29425-8905
Phone (585) 698-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VI2 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

Enrollment IDStateProvider typePAC IDDetails
I20220811000667 NY Practitioner - Pediatric Medicine 2668748294 Reassigns benefits to 2 organizations
I20241029004435 VI Practitioner - Pediatric Medicine 2668748294 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C201202CAMDPediatrics Physician
306046-01NYMDPediatrics Physician
51141SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 29, 2022 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 17, 2024 Accepting new patients
Rochester General Hospital Pediatrics CurrentSince Aug 29, 2022 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 29, 2022 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 17, 2024 Accepting new patients
Kauai Veterans Memorial Hospital Past Accepting new patients
Samuel Mahelona Memorial Hospital Past Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: noramattea.dumonthelman.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1427587013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DANBURY CIR N",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182748",
            "telephone_number": "843-518-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272630",
            "telephone_number": "760-344-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Ashley Ave # Msc917",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "585-698-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMONT",
        "first_name": "NORA",
        "middle_name": "MATTEA MEHLMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C201202",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "51141",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "306046-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.