Individual provider Active NPI

Jessika Silvia Dingwall, M.D.

  • Diagnostic Radiology Physician
  • Rock Springs, WY
National Provider Identifier
1710113402
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
TL3383 Issued in WY
Practice address
1200 College Dr
Rock Springs, WY 82901-5868
Phone
(307) 350-8577
Fax
(307) 875-8800
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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 0101248207 VA
Diagnostic Radiology Physician 2085R0202X TL3383 WY Primary

Addresses

Primary practice location

1200 College Dr
Rock Springs, WY 82901-5868

Mailing address

3851 Roger Brooke Dr
McHe-QD (Creds)
Fort Sam Houston, TX 78234-4501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, WA, SC, TX, OH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160411000031 WY Practitioner - Diagnostic Radiology 8820396740 Reassigns benefits to 1 organization
I20190403001573 WA Practitioner - Diagnostic Radiology 8820396740 Reassigns benefits to 2 organizations
I20240710002642 SC Practitioner - Diagnostic Radiology 8820396740 Reassigns benefits to 1 organization
I20260216000112 TX Practitioner - Diagnostic Radiology 8820396740 Reassigns benefits to 1 organization
I20260421003172 OH Practitioner - Diagnostic Radiology 8820396740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arh Mary Breckinridge Health Services, Inc.Group PAC ID 8123293818, 87 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians
Kennewick Radiology Group PCGroup PAC ID 9335230549, 34 clinicians

Practice addresses (Care Compare)

Richland, WA 99352
Phone (606) 285-6400

1016 Sunhaven PL
Richland, WA 99352-9535
Phone (614) 340-7740

1460 Montgomery St
Dupont, WA 98327-9720
Phone (614) 340-7740

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

7425 Wrigley Dr
Suite 102
Pasco, WA 99301-5292
Phone (509) 543-7583

Hospital & facility affiliations

  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062
  • Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005
  • Whitesburg Arh Hospital Hospital, Whitesburg, KY, CCN 180002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91521SCMDFamily Medicine Physician
0101248207VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Aug 10, 2025 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Dec 24, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Aug 10, 2025 Accepting new patients
Kennewick Radiology Group, PC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients

Locations

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 11

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1710113402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "MCHE-QD (CREDS)",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015868",
            "telephone_number": "307-350-8577",
            "fax_number": "307-875-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGWALL",
        "first_name": "JESSIKA",
        "middle_name": "SILVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101248207",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "TL3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.