Individual provider Active NPI

Daniel J Dibardino, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Toledo, OH
National Provider Identifier
1194904334
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35132973 Issued in OH
Practice address
2222 Cherry St Ste 1250
Toledo, OH 43608
Phone
(419) 251-3180
Fax
(419) 251-3849
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A126903 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 21479 MS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35132973 OH Primary

Addresses

Primary practice location

2222 Cherry St Ste 1250
Toledo, OH 43608

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7102

Other identifiers 2

IdentifierTypeStateIssuer
131143MedicaidAL
05233505MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180619002752 OH Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 5496926198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Practice addresses (Care Compare)

2222 Cherry St
Suite 1250
Toledo, OH 43608-2687
Phone (419) 251-3180

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126903CAMDMarriage & Family Therapist
A126903CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health Partners Sub-Specialty Services Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2019 Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients

Locations

1277 Mercy Dr
Slp Ctr
Muskegon, MI 49444
Phone (231) 672-6186

1560 E Sherman Blvd
Ste 309
Muskegon, MI 49444
Phone (231) 672-8643

830 W High St
Ste 207
Lima, OH 45801
Phone (419) 226-9182

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 1250
Toledo, OH 43608
Phone (419) 251-3180

Interoperability endpoints

  • Direct secure messaging: ddibardino406478@direct.bsmhealth.org

Organizations & group practices 5

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 2

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1194904334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 1250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-3180",
            "fax_number": "419-251-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBARDINO",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A126903",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "21479",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35132973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131143",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05233505",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.