Individual provider Active NPI

Dimas Cortez

  • Family Nurse Practitioner
  • West Grove, PA
National Provider Identifier
1972111359
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022064 Issued in PA
Practice address
105 Vineyard Way Ste 237
West Grove, PA 19390-8849
Phone
(610) 444-7550
NPI assigned
Jul 21, 2020
Last updated
May 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022064 PA Primary

Addresses

Primary practice location

105 Vineyard Way Ste 237
West Grove, PA 19390-8849

Mailing address

424 W Douglass St
Reading, PA 19601-2331
Phone (610) 468-6263

Other practice location 1

1656 W Main St
Ephrata, PA 17522-1103
Phone (610) 468-6263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202000008 PA Practitioner - Nurse Practitioner 7416361506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Vineyard Way
Suite 200
West Grove, PA 19390-8849
Phone 6104447550260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP022064PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LCH Health and Community Services CurrentSince Dec 20, 2024 Accepting new patients
The Wellness Room LLC Current Accepting new patients
LCH Health and Community Services CurrentSince Dec 20, 2024 Accepting new patients
LCH Health and Community Services Past Accepting new patients

Locations

1656 W Main St
Ephrata, PA 17522
Phone (610) 468-6263

731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550

14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550

105 Vineyard Way
Ste 103
West Grove, PA 19390
Phone (610) 444-7550

105 Vineyard Way
Ste 200
West Grove, PA 19390
Phone (610) 345-0020

Interoperability endpoints

  • Direct secure messaging: dimas.cortez.1@27280.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1972111359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W DOUGLASS ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196012331",
            "telephone_number": "610-468-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINEYARD WAY STE 237",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908849",
            "telephone_number": "610-444-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1656 W Main St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221103",
            "country_code": "US",
            "telephone_number": "610-468-6263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "DIMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.