Active NPI
Arnold Lee Dellon, M.D.
- Specialist
- Towson, MD
National Provider Identifier
1629096771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0019722
- Practice address
- 1122 Kenilworth Dr
Suite 18
Towson, MD 21204-2139 - Phone
- (410) 337-5400
- Fax
- (410) 337-0040
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0019722 | MD | Primary |
Addresses
Primary practice location
1122 Kenilworth Dr
Suite 18
Towson, MD 21204-2139
Mailing address
1122 Kenilworth Dr
Suite 18
Towson, MD 21204-2139
Phone (410) 337-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2012 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0019722 | MD | MD | Specialist |
| 23472 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dellon Institute for Peripheral Nerve Surgery | Specialist | Past | Accepting new patients |
| A. Lee Dellon, MD, PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1787/brand/1/csg/1/fhir/r4
- adillon@direct.uspi.com
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Towson, MD
- NPI 1972624260
-
- Specialist
- Brookline, MA
- NPI 1164580387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1629096771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR",
"address_2": "SUITE 18",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042139",
"telephone_number": "410-337-5400",
"fax_number": "410-337-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR",
"address_2": "SUITE 18",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042139",
"telephone_number": "410-337-5400",
"fax_number": "410-337-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLON",
"first_name": "ARNOLD",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0019722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.