MR. TYMON FUJITA DICKSON MD
NPI 1356928063
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2021, Mar 27, 2021 (2 updates tracked since 2021).

About Mr. Tymon Fujita Dickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYMON FUJITA DICKSON MD (NPI 1356928063) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356928063
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TYMON FUJITA DICKSONCredential: MD
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 778-4486
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 27, 2021
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
NPPES CertifiedMarch 27, 2021
NPI 1356928063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 METROHEALTH DR, Cleveland, OH 44109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Tymon Fujita Dickson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224439500
PECOS Enrollment IDI20250915002926
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tymon Dickson's NPI number?

The NPI number for Tymon Dickson is 1356928063. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Tymon Dickson located?

Tymon Dickson practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Tymon Dickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tymon Dickson enrolled in Medicare?

Yes. Tymon Dickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tymon Dickson affiliated with any hospitals?

According to CMS data, Tymon Dickson is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Tymon Dickson was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.