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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL R DIBENEDETTO MD PLLC
NPI 1083809727
Orthopaedic Surgery in Ponderay, ID

Active since September 06, 2007
30544 HWY 200, STE 102, PONDERAY, ID 83852(208) 265-9836(208) 263-7249 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2021, Mar 23, 2021 (2 updates tracked since 2021).

About Michael R Dibenedetto Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL R DIBENEDETTO MD PLLC (NPI 1083809727), doing business as North Idaho Cardiac Rehabilitation, is a healthcare organization registered as an orthopaedic surgery in Ponderay, Idaho and active in the NPI registry since September 2007. The organization lists Kirsten Eveland, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1083809727
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMICHAEL R DIBENEDETTO MD PLLC
Location Address30544 HWY 200, STE 102Ponderay, ID 83852
Mailing Address30544 Highway 200 Ste 102Ponderay, ID 83852-5005 · (208) 265-9817 · Fax (208) 265-4533
Phone(208) 265-9836
Fax(208) 263-7249
Organization SubpartNo
Authorized OfficialKirsten EvelandPractice Manager · (208) 265-9817
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1083809727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedClinic/Center · Rehabilitation, Cardiac FacilitiesTaxonomy 261QR0404X
30544 HWY 200, Ponderay, ID 83852
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Other Names 3

Doing Business AsNorth Idaho Cardiac Rehabilitation
Doing Business AsNorth Idaho Orthopedics & Sports Medicine
Doing Business AsWoodlands Family Medicine

Other Identifiers 4

OtherDG3627ID · Palmetto Gba Railroad Med
Medicaid806452000ID
Other000010140056ID · Regence Blue Shield
Other8N259ID · Blue Cross

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session G0423
Intensive cardiac rehabilitation (ICR) is a program designed to improve heart health, especially after a cardiac event. It may include continuous ECG monitoring to track heart activity. Each session, even without exercise, focuses on lifestyle changes, diet, and stress management.
1,074 services35 patients
Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session G0422
Intensive cardiac rehabilitation is a program designed to improve heart health after a cardiac event. It may involve monitored exercise sessions, where your heart rate is tracked via ECG to ensure safety. Each session is tailored to your needs and abilities.
984 services34 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael R Dibenedetto MD PLLC's NPI number?

The NPI number for Michael R Dibenedetto MD PLLC is 1083809727. It was assigned to this organization in the NPPES registry on September 6, 2007. The provider is doing business as North Idaho Cardiac Rehabilitation, North Idaho Orthopedics & Sports Medicine and Woodlands Family Medicine.

Where is Michael R Dibenedetto MD PLLC located?

Michael R Dibenedetto MD PLLC is located at 30544 Hwy 200 Ste 102, Ponderay, ID 83852. The listed phone number is (208) 265-9836.

What is Michael R Dibenedetto MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Michael R Dibenedetto MD PLLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.