William J Dibble, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

191174 Issued in NY

Practice address

4000 Medical Center Dr.
Suite 101 D/E
Fayetteville, NY 13066-6610

Phone

(315) 637-7878

Fax

(315) 637-7870

NPI assigned

Mar 28, 2006

Last updated

May 18, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
• HCR Home Care Home health agency, East Syracuse, NY, CCN 337119
• Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
• St Joseph's Hospital Health Center Hospital, Syracuse, NY, CCN 330140
• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
• Crouse Hospital Hospital, Syracuse, NY, CCN 330203

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wdibble2387667@direct.trinity-health.org

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.

• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747
  Medicare reassignment Care Compare group NPD
• North Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1972563070
  NPD
• Cny North Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1962901389
  NPD (past)
• Nephrology Associates of Syracuse, P.C.

  • Nephrology Physician
  • Syracuse, NY
  • NPI 1831276823
  NPD (past)
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation
• L Woerner Inc

  dba HCR and HCR Home Care

  • Home Health Agency
  • Oneonta, NY
  • NPI 1649575549
  Care Compare affiliation
• L Woerner Inc

  dba HCR and or HCR Home Care

  • Home Health Agency
  • East Syracuse, NY
  • NPI 1841585114
  Care Compare affiliation
• L Woerner Inc

  dba HCR and or HCR Home Care

  • Home Health Agency
  • East Syracuse, NY
  • NPI 1982978342
  Care Compare affiliation
• Oneida Health Systems, Inc

  dba Oneida Healthcare Center

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation
• QC-Medi New York, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Syracuse, NY
  • NPI 1912939489
  Care Compare affiliation
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation
• The Caring Coalition of Central New York

  dba Hospice of Central New York

  • Community Based Hospice Care Agency
  • Liverpool, NY
  • NPI 1912098666
  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1356301774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR",
            "address_2": "SUITE 101 D/E",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-637-7878",
            "fax_number": "315-744-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR.",
            "address_2": "SUITE 101 D/E",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666610",
            "telephone_number": "315-637-7878",
            "fax_number": "315-637-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "191174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01411527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Delisle, PA-C
• Denis F Branson MD Professional Corporation
• Denise C. Wolken, MD PLLC
• Deanna Marie Derrenbacker, PT
• Prashant Prakash Deshmane, MD
• Grace Digiovanni
• Scott Dillingham, D.D.S.
• Thomas Ditch, PHARMD
• Maria Ditullio, ED.D
• Christine Dolley, LCSW R

• Family Medicine Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.