NPIMap

Individual provider Active NPI

Fredrick S Dibrell, M.D.

  • Internal Medicine Physician
  • Pikeville, TN
National Provider Identifier
1285654111
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45770 Issued in TN
Practice address
136 Wheelertown Avenue
Pikeville, TN 37367-5247
Phone
(423) 447-3524
Fax
(423) 447-3621
NPI assigned
Jul 21, 2006
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E1622 AR
Internal Medicine Physician 207R00000X 45770 TN Primary
Pediatrics Physician 208000000X 45770 TN

Addresses

Primary practice location

136 Wheelertown Avenue
Pikeville, TN 37367-5247

Mailing address

PO Box 11527
Chattanooga, TN 37401-2527
Phone (423) 778-3274

Other identifiers 5

IdentifierTypeStateIssuer
1517996MedicaidTN
18437000000OtherARQUALCHOICE
P0117339OtherARRAILROAD MEDICARE
134513001MedicaidAR
5K789OtherARBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000681 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0648228619 Reassigns benefits to 2 organizations
Practice locations: Spencer, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

116 Wheelertown Ave
Pikeville, TN 37367-5247
Phone (423) 447-2112

136 Wheelertown Ave
Pikeville, TN 37367-5247
Phone (423) 778-2580

2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434

910 Blackford St
Chattanooga, TN 37403-1405
Phone (423) 778-4044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1622ARMDInternal Medicine Physician
45770TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jan 1, 2014 Accepting new patients
Chattanooga Hamilton County Hospital Authority Internal Medicine Current Accepting new patients
Erlanger Health Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jan 1, 2014 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients
Irvin & Dibrell Medical Clinic, PA Past Accepting new patients
Mountain View Family Practice PA Past Accepting new patients
Erlanger Health Internal Medicine Past Accepting new patients
Emergency Physicians PC Past Accepting new patients
Generations Health Association, Inc. Past Accepting new patients

Locations

1755 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 778-8400

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

16931 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-5100

136 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-3524

71 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-2112

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Generations Center of SpencerSpencer, TN, CCN 445388 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 17, 2010
Jul 14, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1285654111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11527",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012527",
            "telephone_number": "423-778-3274",
            "fax_number": "423-778-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WHEELERTOWN AVENUE",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "373675247",
            "telephone_number": "423-447-3524",
            "fax_number": "423-447-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBRELL",
        "first_name": "FREDRICK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E1622",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "45770",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "45770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517996",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18437000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0117339",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134513001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5K789",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, TN

Sources for this page

Verify at the official NPI Registry.