Herbert Joseph Dimeola, MD
Individual provider Active NPI Hospitalist Physician · Stafford Springs, CT
NPI 1528024015 · NPPES record last updated Jun 18, 2021
Key facts
- NPI
- 1528024015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 014237 (CT)
- Practice address
- 201 Chestnut Hill Rd
Stafford Springs, CT 06076 - Phone
- (860) 272-2916
- Fax
- (860) 272-2993
- NPI assigned
- Apr 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040802001437 | CT | Practitioner - Hospitalist |
6608855192 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare, PC | Internal Medicine | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current |
Accepting new patients |
| Prime Healthcare (Sleep Lab) | Current |
Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current |
Accepting new patients |
| Saint Francis Behavioral Health Group, P.C. | Past |
Accepting new patients | |
| Mercy Inpatient Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
Locations
9 Cranbrook Blvd
Fl 2
Enfield, CT 06082
Phone (860) 242-8591
15 Palomba Dr
Ste 13
Enfield, CT 06082
Phone (860) 749-2251
95 Woodland St
#1
Hartford, CT 06105
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 014237 | CT | |
| Hospitalist Physician | 208M00000X | 014237 | CT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001142371 | Medicaid | CT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hdimeola9676@direct.stfranciscare.org | Direct |
Other providers in Stafford Springs, CT
- Paul Harvey Cooke
- Michelle Marie Cunha
- Peter Cuniowski
- David E. Palozej Eyecare Associates, LLC
- Srianee M Dias
- Victor Eanniello II
- Echn Johnson Evergreen Corporation
- Echn Johnson Memorial Hospital, Inc.
- Echn Johnson Memorial Hospital, Inc.
- Deborah Eddinger
All providers in Stafford Springs, CT · Hospitalist Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.