THERESA DIFABRIZIO PA-C
NPI 1720483555
Physician Assistant - Surgical in Halethorpe, MD

Active since October 22, 2014PECOS EnrolledAccepts Medicare Assignment
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227(410) 737-5300 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2021, Aug 3, 2020, Mar 22, 2019 (3 updates tracked since 2019).

About Theresa Difabrizio Pa-c NPPES

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

THERESA DIFABRIZIO PA-C (NPI 1720483555) is an individual surgical provider in Halethorpe, Maryland, licensed in Maryland (C0006812) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720483555
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTHERESA DIFABRIZIOCredential: PA-C
Location Address1701 TWIN SPRINGS RDHalethorpe, MD 21227-3553
Mailing Address739 S Linwood AveBaltimore, MD 21224-3853 · (760) 419-4413
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 22, 2014
Last NPPES UpdateJune 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
NPI 1720483555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MD · C0006812
Also ListedPhysician AssistantTaxonomy 363A00000X · License 51688 (CA)
1701 TWIN SPRINGS RD, Halethorpe, MD 21227

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

Theresa Difabrizio 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 ID4981928777
PECOS Enrollment IDI20180629000014
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.

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.

Family Medicine
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Family Medicine (Geriatric Medicine)
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Physical Medicine & Rehabilitation
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1701 TWIN SPRINGS RD, KAISER PERMANENTE SOUTH BALTIMORE COUNTY MEDICAL CENTER
HALETHORPE, MD 21227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Internal Medicine
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Pharmacist
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227

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 Theresa Difabrizio's NPI number?

The NPI number for Theresa Difabrizio is 1720483555. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Where is Theresa Difabrizio located?

Theresa Difabrizio practices at 1701 Twin Springs Rd, Halethorpe, MD 21227. The listed phone number is (410) 737-5300.

What is Theresa Difabrizio's specialty?

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

Is Theresa Difabrizio enrolled in Medicare?

Yes. Theresa Difabrizio 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.

When was this NPI record last updated?

The NPPES record for Theresa Difabrizio was last updated on June 1, 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.