Individual provider Active NPI

Suzanne Y Dib

  • Family Medicine Physician
  • Altoona, PA
National Provider Identifier
1033315569
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD440358 Issued in PA
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

Updated by the provider on Feb 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RES0000OtherPARESIDENT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000697 PA Practitioner - Family Practice 2961696281 Reassigns benefits to 1 organization

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
Upmc Altoona Regional Health Services, Inc.Group PAC ID 5395659312, 191 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

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 Home health agency, Altoona, PA, CCN 397087
  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince May 1, 2018 Accepting new patients
Upmc Altoona Regional Health Services, Inc Family Medicine CurrentSince May 1, 2018 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

  • Direct secure messaging: sdib19497@upmc.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.