JOHN MARK DIMICHELE M.D.
NPI 1871621680
Pediatrics in Elizabeth City, NC
About John Mark Dimichele M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MARK DIMICHELE M.D. (NPI 1871621680) is an individual pediatrics provider in Elizabeth City, North Carolina, licensed in North Carolina (2015-02134) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Mark Dimichele M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show John Dimichele reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth City, NC 27909
- Reassigned Medicare billing, North Carolina enrollment
- 176 clinicians in this Medicare group
Norfolk, VA 23507
- Reassigned Medicare billing, Virginia enrollment
- 549 clinicians in this Medicare group
Manteo, NC 27954
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Outer Banks Professional Services, LLC
- 346 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27909 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELIZABETH CITY, NC 27909
ELIZABETH CITY, NC 27909
ELIZABETH CITY, NC 27909
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 John Dimichele's NPI number?
The NPI number for John Dimichele is 1871621680. It was assigned to this individual provider in the NPPES registry on March 1, 2007.
Where is John Dimichele located?
John Dimichele practices at 1141 N Road St, Elizabeth City, NC 27909. The listed phone number is (252) 384-2590.
What is John Dimichele's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is John Dimichele enrolled in Medicare?
Yes. John Dimichele is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Dimichele's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Dimichele reassigns Medicare benefits to 3 organizations: Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC), Childrens Specialty Group PLLC (Norfolk, VA) and Outerbanks Professional Services LLC (Manteo, NC). Each 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 John Dimichele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Dimichele accept?
Health plans from Cigna Healthcare list John Dimichele 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 John Dimichele was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# John Mark Dimichele, M.D. · NPI 1871621680
Pediatrics physician in Elizabeth City, North Carolina. Individual provider, active in the CMS NPPES registry since March 1, 2007.
## Identity
- **NPI:** 1871621680 (Entity type: Individual)
- **Enumerated:** March 1, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2015-02134 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1141 N ROAD ST, Elizabeth City, NC 27909-3354
- **Phone:** (252) 384-2590 · **Fax:** (252) 384-2589
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Albemarle Physician Services - Sentara, Inc (NPI 1962719609, Elizabeth City, NC); Childrens Specialty Group PLLC (NPI 1255354130, Norfolk, VA); Outerbanks Professional Services LLC (NPI 1457686891, Manteo, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2022
- **Other identifiers:** Other 28911 (VT); Medicaid OVN1356 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1871621680) · Data from the CMS NPPES public registry.