Individual provider Active NPI

Arnold Lee Dellon, M.D.

  • Specialist
  • Towson, MD
National Provider Identifier
1629096771
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0019722 Issued in MD
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

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
D0019722MDMDSpecialist
23472SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dellon Institute for Peripheral Nerve Surgery Specialist PastSince Sep 1, 2004 Accepting new patients
A. Lee Dellon, MD, PA PastSince Nov 15, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1787/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.