Michael J Dimitrion, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3107 Issued in HI

Practice address

98-1079 Moanalua Rd
Suite 420
Aiea, HI 96701-4713

Phone

(808) 488-7000

Fax

(808) 487-0104

NPI assigned

Aug 13, 2006

Last updated

Jun 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michael J Dimitrion MD Inc

  • Internal Medicine Physician
  • Aiea, HI
  • NPI 1508877192
  Medicare reassignment NPD
• Aiea Medical Group,LLC

  • Internal Medicine Physician
  • Aiea, HI
  • NPI 1598009227
  Authorized official Same address or phone

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1508878836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 420",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-488-7770",
            "fax_number": "808-487-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 420",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-488-7000",
            "fax_number": "808-487-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRION",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037597-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maliah-Taylor Diaz
• Roberto Diaz, DC
• Kevin Wayne Dieffenbach, M.D.
• E'Lizibeth Diez
• Alaysiajayne Destiny Dimaya-Gabriel
• DLMC, Inc (Kamaaina Healthcare Services)
• DLMC, Inc. (Kamaaina Healthcare Services)
• DLMC, Inc. (Kamaaina healthcare Services)
• Kevin DO, DPT
• Nguyet-Angelica Doan, OD

• Internal Medicine Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.