Individual provider Active NPI

Thomas A Diliberto, D.O.

  • Diagnostic Radiology Physician
  • Drexel Hill, PA
National Provider Identifier
1053309385
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS002313L Issued in PA
Practice address
501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone
(610) 394-1735
Fax
(610) 284-8312
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS002313L PA Primary

Addresses

Primary practice location

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114

Mailing address

501 N Lansdowne Ave
DCMH
Drexel Hill, PA 19026-1114
Phone (610) 394-1735

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
I20101124000324 PA Practitioner - Diagnostic Radiology 7911006663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Delco Radiologic Associates Diagnostic Radiology Past Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1053309385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "address_2": "DCMH",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-394-1735",
            "fax_number": "610-284-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-394-1735",
            "fax_number": "610-284-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILIBERTO",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS002313L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.