JOSEPH J DIBERNARDO PA-C
NPI 1497721419
Physician Assistant - Medical in Providence, RI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE # C70, PROVIDENCE, RI 02906(401) 793-4545(401) 793-7866 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph J Dibernardo Pa-c NPPES

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

JOSEPH J DIBERNARDO PA-C (NPI 1497721419) is an individual medical provider in Providence, Rhode Island, licensed in Rhode Island (PA00321) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1497721419
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOSEPH J DIBERNARDOCredential: PA-C
Location Address164 SUMMIT AVE # C70Providence, RI 02906-2853
Mailing Address15 Lasalle SquareProvidence, RI 02903 · (401) 444-3239
Fax(401) 793-7866
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1497721419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in RI · PA00321
164 SUMMIT AVE # C70, Providence, RI 02906

Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2770 · Phone (401) 737-7010 · Fax (401) 736-4546

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

Joseph J Dibernardo Pa-c 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 ID7911999057
PECOS Enrollment IDI20040331000328
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services24 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 9

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

Physician Assistant (Surgical)
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906
Physician Assistant (Medical)
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906
Physician Assistant
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906
Physician Assistant (Surgical)
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906
Physician Assistant (Medical)
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906
Nurse Practitioner (Adult Health)
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906
Nurse Practitioner
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906
Physician Assistant
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906

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 Joseph Dibernardo's NPI number?

The NPI number for Joseph Dibernardo is 1497721419. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Joseph Dibernardo located?

Joseph Dibernardo practices at 164 Summit Ave # C70, Providence, RI 02906. The listed phone number is (401) 793-4545.

What is Joseph Dibernardo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Joseph Dibernardo enrolled in Medicare?

Yes. Joseph Dibernardo 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 Joseph Dibernardo affiliated with any hospitals?

According to CMS data, Joseph Dibernardo is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Dibernardo was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.