Individual provider Active NPI

Dino T Deconcini, MD

  • Urology Physician
  • Santa Monica, CA
National Provider Identifier
1689666307
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G84439 Issued in CA
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.

Hospital & facility affiliations 3

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

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 6 clinicians

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 Hospital, Santa Monica, CA, CCN 050290
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as individual
Quality
94.26
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
G84439CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S. Adam Ramin MD Inc Urology Current Accepting new patients
Comprehensive Urology Medical Group CurrentSince Jan 1, 2007 Accepting new patients
Dino T. Deconcini MD Inc Urology CurrentSince May 26, 2000 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

  • Direct secure messaging: dinodeconcini@pacificuro.medalliesdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G84439 CA Primary

Addresses

NPPES NPI Registry

Primary 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

Sources for this page

Verify at the official NPI Registry.