Brian Dedinsky, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AZ20400 Issued in AZ

Practice address

367 E Virginia Ave
Phoenix, AZ 85004-1202

Phone

(602) 256-6303

Fax

(602) 256-6302

NPI assigned

Jan 9, 2007

Last updated

Nov 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Creighton University School of Medicine, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIGCCA/Endpoint/EIGCCA

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.

• Brian D Dedinsky MD PC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1114183209

  Family Medicine

  Medicare reassignment NPD Authorized official
• LHCG Clxxii, LLC

  dba Casa de la Luz Palliative Care

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1407458532

  Family Medicine

  Medicare reassignment NPD

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

• Honorhealth

  dba HonorHealth John C. Lincoln Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1730238106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 N LAKESIDE LN",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532836",
            "telephone_number": "602-405-3399",
            "fax_number": "602-256-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 E VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041202",
            "telephone_number": "602-256-6303",
            "fax_number": "602-256-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDINSKY",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ20400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Anthony Dedecker, RPH
• Dedicated Dragonfly Therapy, LLC
• Dedicated Onsite Therapy LLC
• Dedicated Recovery and Counseling LLC
• Dedicated Therapy Services LLC (Dedicated Therapy Service LLC)
• Marcus Dee, DO
• Sandra Jean Deegan, M.D.
• Patricia Lott Deeke, M.S.P.T.
• Jack Deeming
• Deenice LLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.