Active NPI
Daniel J Dibardino, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35132973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131143 | Medicaid | AL | |
| 05233505 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 Cherry St
Suite 1250
Toledo, OH 43608-2687
Phone (419) 251-3180
Hospital & facility affiliations
- Ohioans Home Healthcare, Inc
- Mercy St Vincent Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126903 | CA | MD | Marriage & Family Therapist |
| A126903 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Partners Sub-Specialty Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | 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
- 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.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Internal Medicine Physician
- Muskegon, MI
- NPI 1124042700
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- Home Health Agency
- Perrysburg, OH
- NPI 1093836546
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.