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DR. HERBERT JOSEPH DIMEOLA MD
NPI 1528024015
Hospitalist in Stafford Springs, CT

Active since April 24, 2006PECOS Enrolled
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076(860) 272-2916(860) 272-2993 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2021, Nov 23, 2015 (2 updates tracked since 2015).

About Dr. Herbert Joseph Dimeola Md NPPES

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

DR. HERBERT JOSEPH DIMEOLA MD (NPI 1528024015) is an individual hospitalist provider in Stafford Springs, Connecticut, licensed in Connecticut (014237) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Enfield.

NPPES Registry Identity

NPI1528024015
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HERBERT JOSEPH DIMEOLACredential: MD
Location Address201 CHESTNUT HILL RDStafford Springs, CT 06076
Mailing AddressPo Box 789Ludlow, MA 01056-0789 · (413) 509-1000 · Fax (413) 509-1003
Phone(860) 272-2916
Fax(860) 272-2993
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateJune 18, 20212 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1528024015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 014237
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 014237 (CT)
201 CHESTNUT HILL RD, Stafford Springs, CT 06076
Open in Google Maps ↗

Secondary Practice Location 1

Location 19 Cranbrook Blvd Fl 2Enfield, CT 06082-3889 · Phone (860) 749-2251 · Fax (860) 745-7747

Other Identifiers 1

Medicaid001142371CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Herbert Joseph Dimeola Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Herbert Dimeola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Health Of New England Provider Network Organization Inc
21 mi
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325
Prime Healthcare, PC
23 mi
Internal Medicine
30 JORDAN LN
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 116 clinicians in this Medicare group
NPI 1184819302 (860) 263-0253

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHNSON MEMORIAL HOSPITAL, INC.
Psychiatric Unit
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-4251
STEPHANIE TULLOCK LCSW
Social Worker (Clinical)
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-8290
PAUL HARVEY COOKE M.D.
Anesthesiology
201 CHESTNUT HILL RD, DEPARTMENT OF ANESTHESIA
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (413) 887-7446
SOMERS ANESTHESIOLOGY ASSOCIATES
Anesthesiology
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-8424
GALEN INPATIENT PHYSICIANS PC
Hospitalist
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-4251
VICTOR EANNIELLO II MD
Anesthesiology
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-8424
DR. SUSAN PARKER MD
Pathology (Anatomic Pathology & Clinical Pathology)
201 CHESTNUT HILL RD, JOHNSON MEMORIAL HOSPITAL
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-8261
NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C.
Emergency Medicine
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-4251

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 Herbert Dimeola's NPI number?

The NPI number for Herbert Dimeola is 1528024015. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Herbert Dimeola located?

Herbert Dimeola practices at 201 Chestnut Hill Rd, Stafford Springs, CT 06076. The listed phone number is (860) 272-2916.

What is Herbert Dimeola's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Herbert Dimeola enrolled in Medicare?

Yes. Herbert Dimeola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Herbert Dimeola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Dimeola reassigns Medicare benefits to 2 organizations: Trinity Health Of New England Provider Network Organization Inc (Hartford, CT) and Prime Healthcare, PC (Wethersfield, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Herbert Dimeola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herbert Dimeola accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Herbert Dimeola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Herbert Dimeola was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.