DR. TAVENNER TATHEN DIBERT M.D.
NPI 1649627381
Pediatrics - Pediatric Critical Care Medicine in Gainesville, FL
About Dr. Tavenner Tathen Dibert M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAVENNER TATHEN DIBERT M.D. (NPI 1649627381) is an individual pediatric critical care medicine provider in Gainesville, Florida, licensed in Florida (ME140590) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 3
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. Tavenner Tathen Dibert 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 Reassignment
Medicare enrollment records show Tavenner Dibert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 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.
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.
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
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 Tavenner Dibert's NPI number?
The NPI number for Tavenner Dibert is 1649627381. It was assigned to this individual provider in the NPPES registry on May 23, 2016.
Where is Tavenner Dibert located?
Tavenner Dibert practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-9001.
What is Tavenner Dibert's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Tavenner Dibert enrolled in Medicare?
Yes. Tavenner Dibert 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 organization bills Medicare for Tavenner Dibert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tavenner Dibert reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The 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 Tavenner Dibert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tavenner Dibert accept?
Health plans from AvMed list Tavenner Dibert 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 Tavenner Dibert was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Tavenner Tathen Dibert, M.D. · NPI 1649627381
Pediatric Critical Care Medicine physician in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since May 23, 2016.
## Identity
- **NPI:** 1649627381 (Entity type: Individual)
- **Enumerated:** May 23, 2016
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** ME140590 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 SW ARCHER RD, Gainesville, FL 32610-3003
- **Phone:** (352) 273-9001
## 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:** Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Florida College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 8, 2024
- **Other identifiers:** Medicaid 123082700 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1649627381) · Data from the CMS NPPES public registry.