Emil Dib, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD064588L Issued in PA

Practice address

81 Hillcrest Dr
Suite 2200
Punxsutawney, PA 15767-2605

Phone

(814) 938-3343

Fax

(814) 938-3369

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edib319558@direct.ahsys.org

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.

• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385

  NJ, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1669873881

  PA

  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905

  PA

  Medicare reassignment NPD
• Nason Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Roaring Spring, PA
  • NPI 1306236609

  Obstetrics & Gynecology, PA

  Medicare reassignment NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Registered Dietitian
  • Johnstown, PA
  • NPI 1760154975
  NPD
• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609
  NPD
• DLP Conemaugh Physician Practices LLC

  • Rural Health Clinic/Center
  • Hollsopple, PA
  • NPI 1356757710
  NPD
• Nason Physician Practices LLC

  • Pediatrics Physician
  • Roaring Spring, PA
  • NPI 1326439803
  NPD
• Nason Physician Practices LLC

  • Emergency Medicine Physician
  • Roaring Spring, PA
  • NPI 1346752284
  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Women and Children Primary Care of Passaic

  • Obstetrics & Gynecology Physician
  • Passaic, NJ
  • NPI 1831278282

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1104818970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 MARKET ST",
            "address_2": "STE B",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654682",
            "telephone_number": "814-938-3343",
            "fax_number": "814-938-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "address_2": "SUITE 2200",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-3343",
            "fax_number": "814-938-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIB",
        "first_name": "EMIL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD064588L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08096200",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD064588L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017159730002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Craft, LCSW
• Zuhdi Mohammed Dajani, M.D.
• Karen Day, LPC
• Anne-Marie Depp, RPH
• Dialysis Clinic Inc.
• Doctors Choice Chiropractic Pain Relief and Rehabilitation Center,P.C.
• Drayer Physical Therapy Institute LLC
• Dubois Reg Med Ctr - PH Dubois Punxsutawney Community Med BLDG
• Dubois Regional Medical Center
• Dubois Regional Medical Center

• All providers in Punxsutawney, PA
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.

Verify at the official NPI Registry.