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DIANE IHEBOM
NPI 1912792011
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 10, 2025PECOS Enrolled
401 W ALLEGHENY AVE, PHILADELPHIA, PA 19133(215) 291-2500 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diane Ihebom NPPES

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

DIANE IHEBOM (NPI 1912792011) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912792011
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIANE IHEBOM
Location Address401 W ALLEGHENY AVEPhiladelphia, PA 19133-3644
Mailing Address18 Joppa RdWorcester, MA 01602-2230
Phone(215) 291-2500
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1912792011 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.
401 W ALLEGHENY AVE, Philadelphia, PA 19133
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Ihebom 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.

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.

NAOMI B WALINSKY-KING M.D.
Family Medicine
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
ERIKA RAMOS
Registered Nurse
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
VANESSA HOOD DO
Student in an Organized Health Care Education/Training Program
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
EVAN RYAN GOOBERMAN DO, MPH
Family Medicine
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
KELLY STRIKER PA-C
Physician Assistant (Medical)
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
MELISSA CRUZ L.C.S.W.
Social Worker (Clinical)
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2100
ERIC QUINN PA-C
Physician Assistant
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
CAITLIN JAMIE WEISS MD
Family Medicine
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500

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 Diane Ihebom's NPI number?

The NPI number for Diane Ihebom is 1912792011. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Diane Ihebom located?

Diane Ihebom practices at 401 W Allegheny Ave, Philadelphia, PA 19133. The listed phone number is (215) 291-2500.

What is Diane Ihebom's specialty?

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

Is Diane Ihebom enrolled in Medicare?

Yes. Diane Ihebom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Ihebom was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.