Individual provider Active NPI

Dianne Quibell, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
National Provider Identifier
1265480883
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
76537 Issued in MA
Practice address
422 Worcester St
Suite 105
Wellesley, MA 02481-5341
Phone
(781) 431-0002
Fax
(781) 237-2022
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 76537 MA Primary

Addresses

Primary practice location

422 Worcester St
Suite 105
Wellesley, MA 02481-5341

Mailing address

422 Worcester St
Suite 105
Wellesley Hills, MA 02481-5341
Phone (781) 431-0002

Other names 1

  • Dianne Frustaci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050601000062 MA Practitioner - Internal Medicine 0244270726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Walnut St
Suite 400
Wellesley, MA 02481-2150
Phone (781) 431-0002

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76537MAMDSpeech-Language Pathologist

Organizations & group practices 1

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 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1265480883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 105",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-431-0002",
            "fax_number": "781-237-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 105",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-431-0002",
            "fax_number": "781-237-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIBELL",
        "first_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "76537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "FRUSTACI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.