NPIMap

Individual provider Active NPI

Johanna Mary Dimento, M.D.

  • Hematology & Oncology Physician
  • Westminster, MD
National Provider Identifier
1649249376
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0071746 Issued in MD
Practice address
291 Stoner Ave
Westminster, MD 21157-5647
Phone
(410) 871-6400
Fax
(410) 871-6248
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0071746 MD Primary

Addresses

Primary practice location

291 Stoner Ave
Westminster, MD 21157-5647

Mailing address

291 Stoner Ave
Westminster, MD 21157-5647
Phone (410) 871-6400

Other identifiers 1

IdentifierTypeStateIssuer
332232700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180510001147 NY Practitioner - Hematology/Oncology 9032144753 Reassigns benefits to 1 organization
I20190311000532 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9032144753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians

Practice addresses (Care Compare)

3900 Ambassador Dr
Anchorage, AK 99508-5922
Phone (907) 563-2662

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Apr 30, 2018 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 30, 2018 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Jan 7, 2019 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Jan 7, 2019 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 3, 2024 Accepting new patients
Arizona Oncology Associates PC Hematology & Oncology PastSince Aug 1, 2004 Accepting new patients
Arizona Oncology Services Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3900 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1500

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

321 E Albany St
Herkimer, NY 13350
Phone (315) 867-2700

Organizations & group practices 11

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1649249376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 STONER AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575647",
            "telephone_number": "410-871-6400",
            "fax_number": "410-871-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 STONER AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575647",
            "telephone_number": "410-871-6400",
            "fax_number": "410-871-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMENTO",
        "first_name": "JOHANNA",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0071746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332232700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.