Look up the most recent NPI and PECOS records

Sheryl Ann Altamirano Dimayuga

Internal Medicine

Allopathic & Osteopathic Physicians

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

(260) 266-2020

PECOS Enrollment

This provider is enrolled in PECOS as SHERYL ANN DIMAYUGA.

Based on the most recent information from CMS, provider Sheryl Ann Altamirano Dimayuga is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1457581001
Provider Type
Individual
Full Name
Dimayuga, Sheryl Ann Altamirano
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/16/2009
Last Updated
10/12/2022

Contact Information

Practice Location

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

(260) 266-2020

(260) 266-2009

Mailing Location

11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 01081703A Indiana
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4301094148 Michigan
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 01081703 Indiana

Sheryl Ann Altamirano Dimayuga

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Dembla, Preeti Nanak

Ansari, Jehangir Anwar

Jan, Abdul Hameed

Alhariri, Ahmad

Akhtar, Tabinda

Chakabva, Munyaradzi S

Gajjela, Manohar

Blum, Corey M

Paudel, Kabita

Siddiqui, Zain Inam