Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Diane Dickinson, MD

Individual provider Family Medicine Physician · NPI 1104860519

Dr. Diane Dickinson, MD is a Family Practice in Portland, Maine. Graduated from University of Massachusetts Medical School in 1989, 37 years ago. Practices with Masstex Imaging, LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Maine.

Years since qualifying
37
Trained at
University of Massachusetts Medical School
Licensed in
CA, ME
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Fore St
Portland, ME 04101-4879
Phone: (207) 808-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4058 D St, Eureka, CA 95503-6025 — (707) 599-1561

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD25688 (ME)
Family Medicine Physician Taxonomy 207Q00000X · Licence G69727 (CA)

Record details

NPI number1104860519
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2006
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Group practice Masstex Imaging, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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