MARY C DYNES MD NPI 1124013677

NPI Information

  • NPI: 1124013677
  • Provider Name: MARY C DYNES, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 620 W EDISON RD
    SUITE 110
    MISHAWAKA, IN
    ZIP 46545
  • Phone: (574) 258-1100

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NPI Details

Mary C Dynes, MD is a diagnostic radiology radiology in Mishawaka, IN with 37 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mary C Dynes, MD NPI is 1124013677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1988

The provider's business location address is:

620 W EDISON RD
SUITE 110
MISHAWAKA, IN
ZIP 46545-784
Phone: (574) 258-1100
Fax: (574) 258-1101

The NPI 1124013677 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 9/12/2005 and was last updated on 5/15/2013.

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
12085B0100XRadiologyBody Imaging01055405INDIANANo
22085N0700XRadiologyNeuroradiology01055405INDIANANo
32085N0904XRadiologyNuclear Radiology01055405INDIANANo
42085P0229XRadiologyPediatric Radiology01055405INDIANANo
52085R0204XRadiologyVascular & Interventional Radiology01055405INDIANANo
62085R0203XRadiologyTherapeutic Radiology01055405INDIANANo
72085U0001XRadiologyDiagnostic Ultrasound01055405INDIANANo
82085R0202XRadiologyDiagnostic Radiology01055405INDIANAYes

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
1200357890MEDICAIDINDIANA
2F89196MEDICARE UPIN
3728230RRMEDICARE PININDIANA

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: 3/30/2025

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