Individual provider Active NPI

Dylan Dinesh, M.D.

  • Hospitalist Physician
  • St Petersburg, FL
National Provider Identifier
1962996231
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME146955 Issued in FL
Practice address
1515 22ND Ave N
Saint Petersburg, FL 33704-3113
Phone
(727) 322-4227
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME146955 FL
Hospitalist Physician 208M00000X ME146955 FL Primary

Addresses

Primary practice location

1515 22ND Ave N
Saint Petersburg, FL 33704-3113

Mailing address

1515 22ND Ave N
Saint Petersburg, FL 33704-3113
Phone (727) 322-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210730001856 FL Practitioner - HospitalistPractitioner - Family Practice 3779839147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Health ClinicsGroup PAC ID 6305129693, 6 clinicians

Practice addresses (Care Compare)

1515 22ND Ave N
St Petersburg, FL 33704-3113
Phone (727) 322-4227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME146955FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Health Clinics Family Medicine CurrentSince Jul 23, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

3600 Central Ave
St Petersburg, FL 33711
Phone (727) 322-4227

1515 22nd Ave N
St Petersburg, FL 33704
Phone (727) 322-4227

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADGHAD
  • Direct secure messaging: ddinesh287941@orlandohealth.medalliesdirect.net
  • Direct secure messaging: dylan.dineshmd@direct.mybaycare.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gateway Post-Acute and Rehabilitation CenterPinellas Park, FL, CCN 105486 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 6, 2025
Mar 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1962996231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043113",
            "telephone_number": "727-322-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043113",
            "telephone_number": "727-322-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINESH",
        "first_name": "DYLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME146955",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME146955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.