Reynold Rodney Mark D'Lima, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00020783 Issued in AL

Practice address

4881 Sugar Maple Drive
Family Practice, Wright Patterson Air Force Base
Dayton, OH 45433-5529

Phone

(513) 417-2613

Fax

(937) 656-1843

NPI assigned

Jan 25, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1962472712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DRIVE",
            "address_2": "FAMILY PRACTICE, WRIGHT PATTERSON AIR FORCE BASE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "513-417-2613",
            "fax_number": "937-656-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DRIVE",
            "address_2": "FAMILY PRACTICE, WRIGHT PATTERSON AIR FORCE BASE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "513-417-2613",
            "fax_number": "937-656-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'LIMA",
        "first_name": "REYNOLD",
        "middle_name": "RODNEY MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00020783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reynold.r.dlima.mil@mail.mil",
            "affiliation": "N",
            "address_1": "4881 SUGAR MAPLE DRIVE",
            "address_2": "FAMILY PRACTICE, WRIGHT PATTERSON AIR FORCE BASE",
            "city": "DAYTON",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454335529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.