Active NPI
Michael Joseph Dimeo, MD
- Pulmonary Disease Physician
- Oak Ridge, TN
National Provider Identifier
1871505495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 40804
- Practice address
- 800 Oak Ridge Tpke
Jackson Plaza Suite C-200
Oak Ridge, TN 37830-6957 - Phone
- (865) 483-3594
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 40804 | TN | Primary |
Addresses
Primary practice location
800 Oak Ridge Tpke
Jackson Plaza Suite C-200
Oak Ridge, TN 37830-6957
Mailing address
800 Oak Ridge Tpke
Jackson Plaza Suite C-200
Oak Ridge, TN 37830-6957
Phone (865) 483-3594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40804 | TN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Statcare Outpatient, LLC | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1134653892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871505495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 OAK RIDGE TPKE",
"address_2": "JACKSON PLAZA SUITE C-200",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306957",
"telephone_number": "865-483-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAK RIDGE TPKE",
"address_2": "JACKSON PLAZA SUITE C-200",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306957",
"telephone_number": "865-483-3594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMEO",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "40804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.