LEILANI DIMOND (M.D.) – Family Medicine Physician, NPI 1912317082

LEILANI DIMOND (M.D.) is a healthcare provider. based in Newport, Rhode Island. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD17496 (RI). The NPI Number for LEILANI DIMOND (M.D.) is 1912317082

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LEILANI DIMOND (M.D.)
NPI
1912317082
Phone
Not provided
Address
NAVAL HEALTH CLINIC NEW ENGLAND
Enumeration Date
29 April 2014
Last Update Date
18 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
4018461139
Graduation Year
2014 (12 years ago)
PAC ID
0143516567
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20210611000780
Address ID
RI028425796MI714XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

406 FAMILY PRACTICE in RI

Provider Addresses for LEILANI DIMOND (M.D.)

  • NAVAL HEALTH CLINIC NEW ENGLAND

    43 SMITH ROAD

    NEWPORT, RI 02841

    Phone:

    Type: Mailing

  • 672 AQUIDNECK AVE

    MIDDLETOWN, RI 028425795

    Phone: (401) 847-0519

    Fax: (401) 846-0283

    Type: Location

  • 714 AQUIDNECK AVE

    MIDDLETOWN, RI 028425796

    Phone: (401) 846-1139

    Fax: (401) 847-1360

    Type: Location

  • 200 MILL RD

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210611000780IFamily PracticeRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes372169$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9696$0
99215Established patient office or other outpatient visit, 40-54 minutes7757$0
99213Established patient office or other outpatient visit, 20-29 minutes5846$0
G0444Annual depression screening, 5 to 15 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 02841)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

How do I look up LEILANI DIMOND (M.D.) by NPI?
Use NPI 1912317082 when you need to reference LEILANI DIMOND (M.D.) in forms, claims, or directories.
Is LEILANI DIMOND (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does LEILANI DIMOND (M.D.) work in?
You can think of LEILANI DIMOND (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place LEILANI DIMOND (M.D.)?
The snapshot lists Newport, Rhode Island for LEILANI DIMOND (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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