JEREMY DANIEL DIBIASIO
NPI 1114533783
Student in an Organized Health Care Education/Training Program in Warwick, RI

Q: What is Jeremy Dibiasio's NPI number?

The NPI number for Jeremy Dibiasio is 1114533783. It was assigned to this individual provider in the NPPES registry on September 19, 2020.

Q: What is Jeremy Dibiasio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Dibiasio was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 19, 2020PECOS EnrolledAccepts Medicare Assignment

17 AIRPORT RD, WARWICK, RI 02889(401) 606-2520 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2021, Sep 19, 2020 (2 updates tracked since 2020).

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About Jeremy Daniel Dibiasio NPPES

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

JEREMY DANIEL DIBIASIO (NPI 1114533783) is an individual student in an organized health care education/training program in Warwick, Rhode Island and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1114533783

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJEREMY DANIEL DIBIASIO

Location Address17 AIRPORT RDWarwick, RI 02889-1001

Mailing Address17 Airport RdWarwick, RI 02889-1001 · (401) 606-2520

Phone(401) 606-2520

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 19, 2020

Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration

NPPES CertifiedJune 7, 2021

✔ NPI 1114533783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN02742 (RI)

17 AIRPORT RD, Warwick, RI 02889

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Secondary Practice Location 1

Location 11 Warren WayProvidence, RI 02905-5000 · Phone (401) 444-0530

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Daniel Dibiasio is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739578097

PECOS Enrollment IDI20211109000256

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

51 services46 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

18 services17 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

18 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ETHAN KLAUSMEYER PA-C

Physician Assistant