DINO T. DECONCINI MD INC
NPI 1770773269
Urology in Santa Monica, CA

Active since July 31, 2007
2021 SANTA MONICA BLVD, 510 E, SANTA MONICA, CA 90404(310) 828-8531(310) 829-2711 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dino T. Deconcini Md Inc NPPES

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

DINO T. DECONCINI MD INC (NPI 1770773269) is a healthcare organization registered as an urology in Santa Monica, California and active in the NPI registry since July 2007. The organization lists Dino T Deconcini, Physician, Owner, as its authorized official.

NPPES Registry Identity

NPI1770773269
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameDINO T. DECONCINI MD INC
Location Address2021 SANTA MONICA BLVD, 510 ESanta Monica, CA 90404-2160
Mailing Address2021 Santa Monica Blvd, 510 ESanta Monica, CA 90404-2160 · (310) 828-8531 · Fax (310) 829-2711
Fax(310) 829-2711
Organization SubpartNo
Authorized OfficialDino T DeconciniPhysician, Owner · (310) 828-8531
Enumeration DateJuly 31, 2007
Last NPPES UpdateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1770773269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · G84439
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2021 SANTA MONICA BLVD, Santa Monica, CA 90404

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dino T. Deconcini Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dino T. Deconcini MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1689666307
2021 SANTA MONICA BLVD 510E
Santa Monica, CA 90404
(310) 828-8531
✔ PECOS✔ Accepts MedicareSame address

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

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 Dino T. Deconcini MD Inc's NPI number?

The NPI number for Dino T. Deconcini MD Inc is 1770773269. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Dino T. Deconcini MD Inc located?

Dino T. Deconcini MD Inc is located at 2021 Santa Monica Blvd 510 E, Santa Monica, CA 90404. The listed phone number is (310) 828-8531.

What is Dino T. Deconcini MD Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Dino T. Deconcini MD Inc enrolled in Medicare?

Yes. Dino T. Deconcini MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dino T. Deconcini MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Dino T. Deconcini MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dino T. Deconcini MD Inc was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.