Individual provider Active NPI

Thomas A Dykes, M.D.

  • Vascular & Interventional Radiology Physician
  • Portland, ME
National Provider Identifier
1710059688
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD13311 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-2571
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD13311 ME
Vascular & Interventional Radiology Physician 2085R0204X MD13311 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040224000369 ME Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0840186276 Reassigns benefits to 4 organizations
I20060217000006 NH Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0840186276 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13311MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, P.a CurrentSince Dec 28, 2021 Accepting new patients
Insight-Premier Health LLC Diagnostic Radiology CurrentSince Mar 12, 2018 Accepting new patients
Spectrum Healthcare Partners, P.a Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Mar 15, 1994 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Mar 15, 1994 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology Current Accepting new patients

Locations

600 Turner St
Ste 1
Auburn, ME 04210
Phone (207) 601-3333

489 State St
Bangor, ME 04401
Phone (207) 973-8837

482 Congress St
Portland, ME 04101
Phone (207) 773-8133

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

33 Gorham Rd
Scarborough, ME 04074
Phone (207) 883-3803

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

3073 Main St
North Conway, NH 03860
Phone (603) 356-2131

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1710059688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD13311",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ME",
            "license": "MD13311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.