Individual provider Active NPI

Christina Marie Dimaggio, MD

  • Obstetrics & Gynecology Physician
  • Livonia, MI
National Provider Identifier
1740284561
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301063316 Issued in MI
Practice address
37595 7 Mile Rd
# 480
Livonia, MI 48152-1003
Phone
(734) 432-7731
Fax
(734) 542-6122
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301063316 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd
# 480
Livonia, MI 48152-1003

Mailing address

25925 Telegraph Rd
Ste 210
Southfield, MI 48034-2527
Phone (248) 746-0342

Other identifiers 1

IdentifierTypeStateIssuer
348166810MedicaidMI

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
I20100122000576 MI Practitioner - Obstetrics/Gynecology 0840332227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8641 W Grand River
4 Providence Hospital
Brighton, MI 48119-4329
Phone (810) 229-6101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Jul 27, 1998 Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology Current Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology CurrentSince Jul 27, 1998 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

8641 W Grand River Ave
Ste 4
Brighton, MI 48116
Phone (810) 225-0900

30055 Northwestern Hwy
Ste 260
Farmington Hills, MI 48334
Phone (248) 737-4600

30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

37595 7 Mile Rd
Ste 480
Livonia, MI 48152
Phone (248) 844-6200

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

26850 Providence Pkwy
Ste 315
Novi, MI 48374
Phone (248) 465-4340

26850 Providence Pkwy
Ste 425
Novi, MI 48374
Phone (248) 465-4040

25925 Telegraph Rd
Ste 210
Southfield, MI 48033
Phone (248) 746-0342

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

Interoperability endpoints

  • Direct secure messaging: cdimaggio1125271@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1740284561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 TELEGRAPH RD",
            "address_2": "STE 210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342527",
            "telephone_number": "248-746-0342",
            "fax_number": "248-746-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD",
            "address_2": "# 480",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "734-432-7731",
            "fax_number": "734-542-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAGGIO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301063316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348166810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.