Active NPI
Melissa Lee Dymond, D.O.
- Diagnostic Radiology Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 005384
- Practice address
- 1825 E Willow Tree CT
Gilbert, AZ 85234-4933 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34.007902 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 20A9404 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 005384 | AZ | Primary |
Addresses
Primary practice location
1825 E Willow Tree CT
Gilbert, AZ 85234-4933
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Chandler, AZ 85248
Phone (480) 728-3000
Hospital & facility affiliations
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9494 | CA | MD | Dermatology Physician |
| 005384 | AZ | MD | Diagnostic Radiology Physician |
| 20A9404 | CA | MD | Diagnostic Radiology Physician |
| 34.007902 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Virtual Radiologic Professionals of California, P.a | Diagnostic Radiology | Past | Accepting new patients |
| Medical Radiologists Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468
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.
-
- Diagnostic Radiology Physician
- Chandler, AZ
- NPI 1518853928
-
- Diagnostic Radiology Physician
- Dayton, OH
- NPI 1902912579
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1881792166
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1790710457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "SUITE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E WILLOW TREE CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344933",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYMOND",
"first_name": "MELISSA",
"middle_name": "LEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34.007902",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "20A9404",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "005384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.