COLLEEN DIBARA
NPI 1477945368
Physician Assistant - Surgical in Worcester, MA

Active since March 02, 2015PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST, WORCESTER, MA 01608(508) 363-5000 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2021, Oct 26, 2020 (2 updates tracked since 2020).

About Colleen Dibara NPPES

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

COLLEEN DIBARA (NPI 1477945368) is an individual surgical provider in Worcester, Massachusetts and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477945368
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCOLLEEN DIBARA
Location Address123 SUMMER STWorcester, MA 01608-1216
Mailing Address123 Summer StWorcester, MA 01608-1216 · (508) 363-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 2, 2015
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1477945368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
123 SUMMER ST, Worcester, MA 01608

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

Colleen Dibara 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 ID7416263033
PECOS Enrollment IDI20150827001883
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.

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Podiatrist (Foot & Ankle Surgery)
123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608

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 Colleen Dibara's NPI number?

The NPI number for Colleen Dibara is 1477945368. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Colleen Dibara located?

Colleen Dibara practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-5000.

What is Colleen Dibara's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Colleen Dibara enrolled in Medicare?

Yes. Colleen Dibara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Colleen Dibara affiliated with any hospitals?

According to CMS data, Colleen Dibara is affiliated with Umass Memorial Health - Harrington Hospital and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Dibara was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.