Individual provider Active NPI

Herbert Joseph Dimeola, MD

  • Hospitalist Physician
  • Stafford Springs, CT
National Provider Identifier
1528024015
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
014237 Issued in CT
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001437 CT Practitioner - HospitalistPractitioner - Nephrology 6608855192 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Prime Healthcare, PC Internal Medicine Current Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Jan 1, 2015 Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine Past Accepting new patients
Saint Francis Behavioral Health Group, P.C. PastSince Apr 1, 2014 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

  • Direct secure messaging: hdimeola3102669@direct.trinity-health.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.