KEITH DIBENEDETTO CRNP
NPI 1699259580
Nurse Practitioner - Primary Care in Hunt Valley, MD
About Keith Dibenedetto Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH DIBENEDETTO CRNP (NPI 1699259580) is an individual primary care provider in Hunt Valley, Maryland, licensed in Maryland (R210044) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Keith Dibenedetto Crnp 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 Keith Dibenedetto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 257 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 12
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 21030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNT VALLEY, MD 21030
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 Keith Dibenedetto's NPI number?
The NPI number for Keith Dibenedetto is 1699259580. It was assigned to this individual provider in the NPPES registry on September 18, 2018.
Where is Keith Dibenedetto located?
Keith Dibenedetto practices at 11121 York Rd, Hunt Valley, MD 21030. The listed phone number is (410) 628-2026.
What is Keith Dibenedetto's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Keith Dibenedetto enrolled in Medicare?
Yes. Keith Dibenedetto 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 Keith Dibenedetto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Dibenedetto reassigns Medicare benefits to Maryland Family Care, Inc. (Baltimore, MD). 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 Keith Dibenedetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keith Dibenedetto was last updated on November 14, 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.
# Keith Dibenedetto, CRNP · NPI 1699259580
Primary Care physician in Hunt Valley, Maryland. Individual provider, active in the CMS NPPES registry since September 18, 2018.
## Identity
- **NPI:** 1699259580 (Entity type: Individual)
- **Enumerated:** September 18, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R210044 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11121 YORK RD, Hunt Valley, MD 21030-2006
- **Phone:** (410) 628-2026 · **Fax:** (410) 667-6834
## 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:** Maryland Family Care, Inc. (NPI 1598718256, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 14, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1699259580) · Data from the CMS NPPES public registry.