Individual provider Active NPI

Amanda Dilger, MD

  • Student in an Organized Health Care Education/Training Program
  • Roseville, CA
National Provider Identifier
1710304753
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5 Medical Plaza Dr Ste 100
Roseville, CA 95661-2866
Phone
(916) 773-0395
NPI assigned
Mar 27, 2014
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

5 Medical Plaza Dr Ste 100
Roseville, CA 95661-2866

Mailing address

5 Medical Plaza Dr Ste 100
Roseville, CA 95661-2866
Phone (916) 773-0395

Other practice location 1

675 N. St. Clair, Galter Pavilion, 15th Floor
Room 200
Chicago, IL 60611-2909
Phone (312) 695-8182

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL None Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 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
I20201209002222 MA Practitioner - Otolaryngology 9638473606
I20250807001015 NY Practitioner - Otolaryngology 9638473606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Harvard Medical School, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

3400 Bainbridge Ave
Bronx, NY 10467-2404
Phone (914) 378-6148

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Current Accepting new patients
Montefiore Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jun 1, 2025 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

555 Taxter Rd
Elmsford, NY 10523
Phone (718) 920-2587

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: adilger@montefioredirect.com

Organizations & group practices 3

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 2

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1710304753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612866",
            "telephone_number": "916-773-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612866",
            "telephone_number": "916-773-0395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N. St. Clair, Galter Pavilion, 15th Floor",
            "address_2": "Room 200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112909",
            "country_code": "US",
            "telephone_number": "312-695-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILGER",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Medical Plaza Dr Ste 100",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956612866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.