Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mary C Dynes, MD

Individual provider Diagnostic Radiology Physician · NPI 1124013677

Mary C Dynes, MD practises Diagnostic Radiology in Mishawaka, Indiana. Graduated from Northwestern University Feinberg Medical School in 1988, 38 years ago. Practices with Radiology Inc, a 35-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
38
Trained at
Northwestern University Feinberg Medical School
Licensed in
IN
In the registry since
2005
Specialties on file
8
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

620 W Edison Rd Ste 110
Mishawaka, IN 46545-2784 Not confirmed with CMS for 13 years — call before visiting
Phone: (574) 258-1100
Fax: (574) 258-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01055405 (IN)
Body Imaging Physician Taxonomy 2085B0100X · Licence 01055405 (IN)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 01055405 (IN)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 01055405 (IN)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 01055405 (IN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 01055405 (IN)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence 01055405 (IN)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 01055405 (IN)

Record details

NPI number1124013677
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2005
Last updated in NPPESMay 15, 2013

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1988 (38 years in practice)
Group practice Radiology Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients618
Services billed 829 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Radiology Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 35 clinicians in the practice; 12 are shown here.

Other providers in Mishawaka