Active NPI
Herbert Joseph Dimeola, MD
- Hospitalist Physician
- Stafford Springs, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 014237
- Practice address
- 201 Chestnut Hill Rd
Stafford Springs, CT 06076 - Phone
- (860) 272-2916
- Fax
- (860) 272-2993
- NPI assigned
- Apr 24, 2006
- Last updated
- Jun 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 014237 | CT | |
| Hospitalist Physician | 208M00000X | 014237 | CT | Primary |
Addresses
Primary practice location
201 Chestnut Hill Rd
Stafford Springs, CT 06076
Mailing address
PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000
Other practice location 1
9 Cranbrook Blvd Fl 2
Enfield, CT 06082-3889
Phone (860) 749-2251
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hdimeola9676@direct.stfranciscare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Prime Healthcare, PC | Internal Medicine | Current | Accepting new patients |
| Prime Healthcare (Sleep Lab) | Current | Accepting new patients | |
| Mercy Inpatient Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
| Saint Francis Behavioral Health Group, P.C. | Past | Accepting new patients |
Locations
15 Palomba Dr
Ste 13
Enfield, CT 06082
Phone (860) 749-2251
9 Cranbrook Blvd
Fl 2
Enfield, CT 06082
Phone (413) 748-7095
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
95 Woodland St
#1
Hartford, CT 06105
201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521
7 Magauran Dr
Stafford Springs, CT 06076
Phone (860) 684-8478
30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253
Interoperability endpoints
- hdimeola3102669@direct.trinity-health.org
- hdimeola9676@direct.stfranciscare.org
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.
-
- Internal Medicine Physician
- Wethersfield, CT
- NPI 1184819302
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Sleep Disorder Diagnostic Clinic/Center
- Wethersfield, CT
- NPI 1184832354
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hartford, CT
- NPI 1801834890
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1528024015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010560789",
"telephone_number": "413-509-1000",
"fax_number": "413-509-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CHESTNUT HILL RD",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "06076",
"telephone_number": "860-272-2916",
"fax_number": "860-272-2993"
}
],
"practiceLocations": [
{
"address_1": "9 Cranbrook Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060823889",
"country_code": "US",
"telephone_number": "860-749-2251",
"fax_number": "860-745-7747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMEOLA",
"first_name": "HERBERT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "014237",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "014237",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hdimeola9676@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "Prime Healthcare Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "9 Cranbrook Blvd Fl 2",
"city": "Enfield",
"state": "CT",
"country_code": "US",
"postal_code": "060823889",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stafford Springs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.