John P Dimondo, MD | |
250 W Kenwood Ave, Decatur, IL 62526-4371 | |
(217) 528-7541 | |
(217) 428-7665 |
Full Name | John P Dimondo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 250 W Kenwood Ave, Decatur, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518050095 | NPI | - | NPPES |
036110562 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-110562 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring V | Springfield, IL | Home health agency |
Whitestar Home Health Inc | Decatur, IL | Home health agency |
Decatur Memorial Hospital | Decatur, IL | Hospital |
St Marys Hospital | Decatur, IL | Hospital |
Memorial Medical Center | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Entity Name | Physician's Choice Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447555685 PECOS PAC ID: 6709024755 Enrollment ID: O20130603000294 |
Mailing Address | Practice Location Address |
---|---|
John P Dimondo, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | John P Dimondo, MD 250 W Kenwood Ave, Decatur, IL 62526-4371 Ph: (217) 528-7541 |
Dr. Saranya Tharmakulasingam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Mohammed J Ahmed, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Amna Karim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Brooke Nicole Ballard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 Fax: 217-864-2449 | |
Dr. Vijay Krishan Sharma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Mohammud Baleegh, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Amisha Kamath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 |