Active NPI
Dino T Deconcini, MD
- Urology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G84439
- Practice address
- 2021 Santa Monica Blvd
510E
Santa Monica, CA 90404-2160 - Phone
- (310) 828-8531
- Fax
- (310) 829-2711
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1033975453
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Columbia University College of Physicians and Surgeons, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Urology Medical Group
Practice addresses (Care Compare)
2021 Santa Monica Blvd
Suite 510E
Santa Monica, CA 90404-2160
Phone (310) 828-8531
8 Medical Pkwy
Suite 305
Farmers Branch, TX 75234-7843
Phone (310) 806-4451
8631 W 3Rd St
Los Angeles, CA 90048-5901
Phone (310) 278-8330
Hospital & facility affiliations
- Saint John'S Health Center
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 94.26
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070416000323 | CA | Practitioner - Urology | 2062517378 | Reassigns benefits to 2 organizations |
| I20230124002450 | TX | Practitioner - Urology | 2062517378 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84439 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Adam Ramin MD Inc | Urology | Current | Accepting new patients |
| Comprehensive Urology Medical Group | Current | Accepting new patients | |
| Dino T. Deconcini MD Inc | Urology | Current | Accepting new patients |
| Comprehensive Urology Medical Group | Urology | Past | Accepting new patients |
| Hillstone Medical Group Inc | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
8631 W 3rd St
Los Angeles, CA 90048
Phone (310) 278-1490
8631 W 3rd St
Ste 1115E
Los Angeles, CA 90048
Phone (310) 278-8330
8631 W 3rd St
Ste 1115
Los Angeles, CA 90048
Phone (310) 659-6727
2021 Santa Monica Blvd
Ste 510E
Santa Monica, CA 90404
Phone (310) 828-8531
8 Medical Pkwy
Ste 305
Farmers Branch, TX 75234
Phone (310) 806-4451
Interoperability endpoints
- dinodeconcini@pacificuro.medalliesdirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G84439 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2021 Santa Monica Blvd
510E
Santa Monica, CA 90404-2160
Mailing address
2021 Santa Monica Blvd Ste 510E
Santa Monica, CA 90404-2160
Phone (310) 828-8531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2023.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1689666307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 SANTA MONICA BLVD STE 510E",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042160",
"telephone_number": "310-828-8531",
"fax_number": "310-829-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 SANTA MONICA BLVD",
"address_2": "510E",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042160",
"telephone_number": "310-828-8531",
"fax_number": "310-829-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECONCINI",
"first_name": "DINO",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G84439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Courtney Linde Decan, MD
- Carly Elizabeth Decerce, RAD-T LEVEL I
- Patricia Lucy Decilla, D.D.S.
- Decio M Rangel MD, a Professional Medical Corporation
- Decio Rangel, M.D., a Professional Medical Corporation
- Roxy Harris Decou, MSW
- Melissa Degrati
- Laura Deguzman, ATC
- Brenda Del Castillo
- Luciano Del Toro Vargas, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.