Daniel Robert Diblasi, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0102203553 Issued in VA

Practice address

36065 Santa Fe Ave
Fort Hood, TX 76544-5060

Phone

(254) 288-8000

Fax

(254) 288-2306

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Dermatology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vanguard Medical Specialists, LLCGroup PAC ID 9436209285, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.69 of 100Reported as group

Quality

86.72

Promoting interoperability

100

Improvement activities

40

Cost

72.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.diblasi.p1@direct.vanguardmed.nextgenshare.com

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.

• Vanguard Medical Specialists LLC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1518105253
  Medicare reassignment Care Compare group NPD
• Vanguard Medical Specialists LLC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1821618190
  NPD
• Vanguard Medical Specialists, LLC

  • Dermatology Physician
  • Hugo, CO
  • NPI 1821890351
  NPD
• Vanguard Medical Specialists LLC

  • Dermatology Physician
  • Woodland Park, CO
  • NPI 1558981175
  NPD (past)
• Vanguard Medical Specialists, LLC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1477326163
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1275896045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-288-8000",
            "fax_number": "254-288-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBLASI",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102203553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Derrah
• Carolyn Shavon Desouza, LVN
• Lisa Ann Devito, RD
• Emmanuel Diaz Perez, M.D.
• Liliana Diaz Pla, PH.D.
• Caleb Dickison, DO
• Paul Dillon
• Daniel Adam Dipirro Jr., DDS
• Jonathan James Dismuke, DMD
• Nhanam Duc DO, D.M.D.

• Dermatology Physician in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.