Active NPI
Suzanne Y Dib
- Family Medicine Physician
- Altoona, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD440358
- Practice address
- 2950 Fairway Dr
Suite 2
Altoona, PA 16602-4494 - Phone
- (814) 942-9494
- Fax
- (814) 942-4403
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD440358 | PA | Primary |
Addresses
Primary practice location
2950 Fairway Dr
Suite 2
Altoona, PA 16602-4494
Mailing address
PO Box 1111
Altoona, PA 16603-1111
Phone (814) 942-9494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RES0000 | Other | PA | RESIDENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811
1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
800 S Logan Blvd
Hollidaysburg, PA 16648-3050
Hospital & facility affiliations
- Upmc Home Healthcare of Central Pennsylvania
- Upmc Altoona
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.88 of 100
- Quality
- 62.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Upmc Altoona Regional Health Services, Inc | Family Medicine | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621
800 S Logan Blvd
Ste 1100
Hollidaysburg, PA 16648
Phone (814) 947-4300
Interoperability endpoints
- sdib19497@upmc.direct-ci.com
- suzanne.y.dib@upmcdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
- Internal Medicine Physician
- Altoona, PA
- NPI 1639158488
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
-
- Psychiatric Hospital Unit
- Altoona, PA
- NPI 1699773465
-
- Home Health Agency
- Altoona, PA
- NPI 1659443158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1033315569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1111",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166031111",
"telephone_number": "814-942-9494",
"fax_number": "814-942-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 FAIRWAY DR",
"address_2": "SUITE 2",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024494",
"telephone_number": "814-942-9494",
"fax_number": "814-942-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIB",
"first_name": "SUZANNE",
"middle_name": "Y",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD440358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT",
"identifier": "RES0000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.