DR. MICHAEL J DICLEMENTE M.D.
NPI 1639160088
Obstetrics & Gynecology - Gynecology in New York, NY
About Dr. Michael J Diclemente M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL J DICLEMENTE M.D. (NPI 1639160088) is an individual gynecology provider in New York, New York, licensed in New York (330169) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Hyde Park, and is a graduate of Georgetown University School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael J Diclemente M.d. 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.
Medicare Billing Reassignments
15Medicare enrollment records show Michael Diclemente reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 9 clinicians in this Medicare group
Elkton, MD 21921
- Reassigned Medicare billing, Maryland enrollment
- 512 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 272 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 35 clinicians in this Medicare group
Bel Air, MD 21014
- Reassigned Medicare billing, Maryland enrollment
- 114 clinicians in this Medicare group
Lewes, DE 19958
- Reassigned Medicare billing, Delaware enrollment
- 382 clinicians in this Medicare group
Seaford, DE 19973
- Reassigned Medicare billing, Delaware enrollment
- 27 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Ocean City, MD 21842
- Reassigned Medicare billing, Maryland and Delaware enrollments
- Medicare enrollment name: Tidalhealth Atlantic Inc
- Also billed through NPI 1871582171 (Delaware)
- 125 clinicians in this Medicare group
Addison, TX 75001
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Unified Womens Healthcare Of Texas PLLC
- 271 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Diclemente's NPI number?
The NPI number for Michael Diclemente is 1639160088. It was assigned to this individual provider in the NPPES registry on November 3, 2005.
Where is Michael Diclemente located?
Michael Diclemente practices at 7 W 51st St Fl 4, New York, NY 10019. The listed phone number is (516) 532-8149.
What is Michael Diclemente's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Michael Diclemente enrolled in Medicare?
Yes. Michael Diclemente 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.
Which organizations bill Medicare for Michael Diclemente's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Diclemente reassigns Medicare benefits to 15 organizations: Walk In Gyn Care, PC (New York, NY), Union Hospital Of Cecil County, Inc. (Elkton, MD), Bayhealth Medical Center, Inc (Dover, DE), Ob Hospitalist Services Delaware PA (Dover, DE), Obhg Maryland PC (Bel Air, MD) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Diclemente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Diclemente accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Michael Diclemente as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Diclemente was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dr. Michael J Diclemente, M.D. · NPI 1639160088
Gynecology physician in New York, New York. Individual provider, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1639160088 (Entity type: Individual)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** 330169 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 7 W 51ST ST FL 4, New York, NY 10019-6910
- **Phone:** (516) 532-8149
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Walk In Gyn Care, PC (NPI 1780138461, New York, NY); Union Hospital Of Cecil County, Inc. (NPI 1407607450, Elkton, MD); Bayhealth Medical Center, Inc (NPI 1912766858, Dover, DE); Ob Hospitalist Services Delaware PA (NPI 1619304300, Dover, DE); Obhg Maryland PC (NPI 1851657894, Bel Air, MD); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** November 6, 2024
- **Other identifiers:** Medicaid 158824-01 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1639160088) · Data from the CMS NPPES public registry.