Active NPI
Frederick Dimeo, P.A.
- Physician Assistant
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C50000194
- Practice address
- 655 S Bay Rd Ste 1F
Dover, DE 19901-4694 - Phone
- (302) 730-4366
- Fax
- (302) 730-0231
- NPI assigned
- Jul 6, 2005
- Last updated
- Jan 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C50000194 | DE | Primary |
| Surgical Physician Assistant | 363AS0400X | C50000194 | DE |
Addresses
Primary practice location
655 S Bay Rd Ste 1F
Dover, DE 19901-4694
Mailing address
640 S State St
Pob BLDG--3Rd Floor
Dover, DE 19901
Phone (302) 480-1688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168809ZA5H | Other | DE | MEDICARE NUMBER |
| 1000015430 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Hahnemann University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-7162
640 S State St
Dover, DE 19901-3530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50000194 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Past | Accepting new patients | |
| Bayhealth Medical Center, Inc | Past | Accepting new patients | |
| Glen D. Rowe, D.O., P.a. | Past | Accepting new patients | |
| Tamesis Rheumatology Medicine of Delaware, P.a | Past | Accepting new patients | |
| Bayhealth Medical Center, Inc | Past | Accepting new patients |
Locations
540 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 672-4600
640 S State St
Dover, DE 19901
Phone (302) 744-4700
640 S State St
Bldg 3RD
Dover, DE 19901
640 S State St
Bldg 742
Dover, DE 19901
651 S Bay Rd
Ste 1F
Dover, DE 19901
Phone (302) 730-4366
655 S Bay Rd
Ste 1F
Dover, DE 19901
Phone (302) 730-4366
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499
315 N Carter Rd
Smyrna, DE 19977
Phone (302) 355-2383
Organizations & group practices 7
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.
-
dba Bayhealth Physicians
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
-
- Neurology Physician
- Dover, DE
- NPI 1952128258
-
- Orthopaedic Surgery Physician
- Milford, DE
- NPI 1245099118
-
- Orthopaedic Surgery Physician
- Dover, DE
- NPI 1912766858
-
- Orthopaedic Surgery Physician
- Dover, DE
- NPI 1467459255
-
- Rheumatology Physician
- Dover, DE
- NPI 1487609517
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1669479531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"address_2": "POB BLDG--3RD FLOOR",
"city": "DOVER",
"state": "DE",
"postal_code": "19901",
"telephone_number": "302-480-1688",
"fax_number": "302-257-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S BAY RD STE 1F",
"city": "DOVER",
"state": "DE",
"postal_code": "199014694",
"telephone_number": "302-730-4366",
"fax_number": "302-730-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMEO",
"first_name": "FREDERICK",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C50000194",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DE",
"license": "C50000194",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "168809ZA5H",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000015430",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
- Ronnie N Diem, PAC
- Brittany Dillard
- Gabriella Renee Dillard, RN
- Dimensions of Difference Health Services, LLC (The Essence of Integrative Health and Medicine Practice)
- Dimensions of Difference Health Services, LLC (The Essence of Integrative Health and Medicine Practice)
- Jennifer L Dinunno, LPC
- Sheila Lee Dirocco, APRN, AGCNS-BC
- Michael Dominick Disanti, AU.D.
- Dispatch Center of Marketing and Sales
- Robert Anthony Distefano, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.