Active NPI
Dionardo Medina Encarnacion, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD460871
- Practice address
- 675 Baltimore Dr
Wilkes Barre, PA 18702-7900 - Phone
- (570) 808-1000
- Fax
- (570) 808-7698
- NPI assigned
- Jul 15, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56723 | WI | |
| Internal Medicine Physician | 207R00000X | ME116593 | FL | |
| Hospitalist Physician | 208M00000X | ME116593 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD460871 | PA | Primary |
Addresses
Primary practice location
675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmedinaencarnacion179870@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3004 17TH St
Saint Cloud, FL 34769-6011
Phone 4075932910101
804 Emmett St
Kissimmee, FL 34741-5434
Phone (407) 785-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME116593 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Premier Endocrinology PLLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Astha Health | Hospitalist | Current | Accepting new patients |
| Inpatient Consultants of Florida Inc | Internal Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Ernesto Zavaleta, MD, PA | Internal Medicine | Past | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
804 Emmett St
Kissimmee, FL 34741
Phone (407) 449-4559
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
3004 17th St
Saint Cloud, FL 34769
Phone (407) 556-3973
2914 17th St
Saint Cloud, FL 34769
Phone (407) 498-3076
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
#532535
Hazle Township, PA 18202
Phone (570) 459-9731
675 Baltimore Dr
Wilkes Barre, PA 18702
Phone (570) 808-5757
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBFHBA
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Kissimmee, FL
- NPI 1619611241
-
- Endocrinology, Diabetes & Metabolism Physician
- Saint Cloud, FL
- NPI 1033487426
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
dba PrimeMed Medical Grp Olyphant in collaboration w/Geisinger Clinic
- Family Medicine Physician
- Olyphant, PA
- NPI 1134536535
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Internal Medicine
-
- Internal Medicine Physician
- Clermont, FL
- NPI 1649268202
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba HCA Florida Osceola Hospital
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
-
dba St Cloud Regional Medical Center
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1972733699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 BALTIMORE DR",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027900",
"telephone_number": "570-808-1000",
"fax_number": "570-808-7698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA ENCARNACION",
"first_name": "DIONARDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "56723",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME116593",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME116593",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD460871",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmedinaencarnacion179870@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "675 Baltimore Dr",
"city": "Wilkes Barre",
"state": "PA",
"country_code": "US",
"postal_code": "187027900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.
- 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.