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TAYLOR R DIBBLE MD
NPI 1821626540
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 29, 2020PECOS Enrolled
3535 MARKET ST FL 2, PHILADELPHIA, PA 19104(215) 746-7212 Get Directions Write a Review

NPPES record last updated: March 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Taylor R Dibble Md NPPES

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

TAYLOR R DIBBLE MD (NPI 1821626540) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821626540
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAYLOR R DIBBLECredential: MD
Location Address3535 MARKET ST FL 2Philadelphia, PA 19104-3317
Mailing Address7 N Columbus Blvd Apt 104Philadelphia, PA 19106-1450 · (215) 512-8058
Phone(215) 746-7212
Sole ProprietorYes
Enumeration DateMarch 29, 2020
NPPES CertifiedMarch 29, 2020
✔ NPI 1821626540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3535 MARKET ST FL 2, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor R Dibble Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Dibble reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
Same address
Psychiatry
3535 MARKET ST, 3RD FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1821486846 (215) 746-6700

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.

COURTNEY SAW M.D.
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2, SECOND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
LINDSEY BRIER MD, PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
KATHRYN SOUDER LCSW
Social Worker (Clinical)
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
ZOE BUCKWALTER
Social Worker (Clinical)
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
DR. ERIKA FIELDMAN SIMS M.D.
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (248) 227-6682
ELIZABETH ANN FLOOK MD PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
LARA MARIE BOYLE MD, PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
DR. TRISH IKE-OMOTOWA MD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222

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 Taylor Dibble's NPI number?

The NPI number for Taylor Dibble is 1821626540. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Taylor Dibble located?

Taylor Dibble practices at 3535 Market St Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 746-7212.

What is Taylor Dibble's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Taylor Dibble enrolled in Medicare?

Yes. Taylor Dibble is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taylor Dibble's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Dibble reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). 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 Taylor Dibble'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 Taylor Dibble was last updated on March 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.