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Active NPI 1447951892 Individual Practitioner Male Practitioner

Dr. John Tyler Dimodica , MD

Internal Medicine • Wright Patterson Afb, OH

Professional Overview & Biography Verified Profile Summary

Dr. John Dimodica, MD is a registered healthcare professional specializing in Internal Medicine in Wright Patterson Afb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9372579655
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wright Patterson Afb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Wright Patterson Afb, OH (5516 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-14
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.152285

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

General Practice

NUCC Taxonomy Code: 208D00000X

State License OH 35.152285

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003169582

Doctor of Pharmacy (Pharm.D.)

Dr. Candace Adedokun , MD

Student in an Organized Health Care Education/Training Program

NPI 1003639121

Doctor of Medicine (M.D.)

Alexis Owen

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1003742263
Dr. Gregory Morse , MD

Radiology - Nuclear Radiology

NPI 1003843707

Doctor of Medicine (M.D.)

Matthew Scully , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1013256536
Karen Lewis , RTT

Radiologic Technologist - Radiation Therapy

NPI 1013330539

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

General Practice (License #35.152285 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Student in an Organized Health Care Education/Training Program (License #35.152285 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2024

General Practice (License #35.152285 in OH)

NPI Profile Active March 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2023

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372579655)

📍
Updated Business Mailing Address March 13, 2023

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529

👤
Provider Name / Credentials Updated March 13, 2023

Recorded as JOHN DIMODICA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447951892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2023
Last Update: July 14, 2026
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.