DR. ANDREW GERARD DIBLEY D.C.
NPI 1801927561
Chiropractor - Sports Physician in Elkhart, IN
About Dr. Andrew Gerard Dibley D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW GERARD DIBLEY D.C. (NPI 1801927561) is an individual sports physician in Elkhart, Indiana, licensed in Indiana (08001099A) and active in the NPI registry since March 2007. He is a graduate of Palmer College Chiropractic - Davenport (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrew Gerard Dibley D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrew Dibley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
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
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKHART, IN 46514
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 Andrew Dibley's NPI number?
The NPI number for Andrew Dibley is 1801927561. It was assigned to this individual provider in the NPPES registry on March 7, 2007.
Where is Andrew Dibley located?
Andrew Dibley practices at 1709 E Bristol St, Elkhart, IN 46514. The listed phone number is (574) 264-9174.
What is Andrew Dibley's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Andrew Dibley enrolled in Medicare?
Yes. Andrew Dibley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrew Dibley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Dibley reassigns Medicare benefits to Andrew G. Dibley, D.C., P.C. (Elkhart, IN). 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 Andrew Dibley'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 Andrew Dibley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Andrew Gerard Dibley, D.C. · NPI 1801927561
Sports Physician provider in Elkhart, Indiana. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1801927561 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** 08001099A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1709 E BRISTOL ST, Elkhart, IN 46514-6606
- **Phone:** (574) 264-9174 · **Fax:** (574) 262-4070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Andrew G. Dibley, D.C., P.C. (NPI 1922250711, Elkhart, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 1987
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 227000 (IN); Medicare UPIN T34633 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1801927561) · Data from the CMS NPPES public registry.