Individual provider Active NPI

Rudyard Limsingian Dimson, MD

  • Internal Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1700956356
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301057383 Issued in MI
Practice address
43421 Garfield Rd
Clinton Township, MI 48038-1133
Phone
(586) 286-5500
Fax
(586) 286-0900
NPI assigned
Nov 9, 2006
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301057383 MI Primary

Addresses

Primary practice location

43421 Garfield Rd
Clinton Township, MI 48038-1133

Mailing address

133 S Main St
Mount Clemens, MI 48043-2308
Phone (586) 468-1600

Other practice location 1

43351 Commons Dr
Clinton Township, MI 48038-1109
Phone (586) 228-8606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdimson63196@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000684 MI Practitioner - Internal Medicine 9537128582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

43421 Garfield Rd
Suite 1
Clinton TWP, MI 48038-1133
Phone (586) 286-5500

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Mt. Clemens, PC Internal Medicine Current Accepting new patients
Henry Ford Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Henry Ford Physician Partners Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Alliance Health Professionals, PLLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

2689 Solution Ctr
Chicago, IL 60677

43351 Commons Dr
Clinton Twp, MI 48038
Phone (586) 228-2303

43411 Garfield Rd
Ste B
Clinton Twp, MI 48038
Phone (586) 203-1260

43421 Garfield Rd
Ste 1
Clinton Twp, MI 48038
Phone (586) 286-5500

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

50505 Schoenherr Rd
Ste 300
Shelby Township, MI 48315
Phone (586) 323-4530

Interoperability endpoints

  • Direct secure messaging: rdimson63196@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1700956356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S MAIN ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432308",
            "telephone_number": "586-468-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43421 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381133",
            "telephone_number": "586-286-5500",
            "fax_number": "586-286-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43351 Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381109",
            "country_code": "US",
            "telephone_number": "586-228-8606",
            "fax_number": "586-228-8743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMSON",
        "first_name": "RUDYARD",
        "middle_name": "LIMSINGIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301057383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdimson63196@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "43421 Garfield Rd Ste 1",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.