DWIGHT ANTHONY DISHMON MD NPI 1316904048

NPI Information

  • NPI: 1316904048
  • Provider Name: DWIGHT ANTHONY DISHMON, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1251 WESLEY DR
    SUITE 153
    MEMPHIS, TN
    ZIP 38116
  • Phone: (901) 763-0200

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NPI Details

Dwight Anthony Dishmon, MD is an interventional cardiology internal medicine in Memphis, TN with 24 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Dwight Anthony Dishmon, MD NPI is 1316904048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1251 WESLEY DR
SUITE 153
MEMPHIS, TN
ZIP 38116-442
Phone: (901) 763-0200
Fax: (901) 761-4002

The NPI 1316904048 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Removal of plaque in artery of leg, initial vessel (HCPCS:37229)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 4/27/2006 and was last updated on 8/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease39198TENNESSEENo
2207RI0011XInternal MedicineInterventional Cardiology39198TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13325860MEDICAIDTENNESSEE
24354768OTHERTENNESSEEBCBS
3155106001MEDICAIDARKANSAS
407222339MEDICAIDMISSISSIPPI
5P01301155OTHERTENNESSEERAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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