Individual provider Active NPI

Gregory Scott Dibelius, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1447559026
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
266579 Issued in NY
Practice address
121 E 60TH St Apt 4D
New York, NY 10022-1164
Phone
(212) 518-1036
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 266579 NY Primary

Addresses

Primary practice location

121 E 60TH St Apt 4D
New York, NY 10022-1164

Mailing address

121 E 60TH St Apt 4D
New York, NY 10022-1164
Phone (212) 518-1036

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181219000166 NY Practitioner - Otolaryngology 5991091910 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians

Practice addresses (Care Compare)

89 -06
Suite 2T
Jamaica, NY 11418-2834
Phone (718) 206-7110

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Sep 15, 2021 Accepting new patients
Flushing Hospital Medical Center CurrentSince Feb 1, 2019 Accepting new patients
TJH Medical Services, P.C. CurrentSince Nov 3, 2018 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Oct 12, 2024 Accepting new patients
Jamaica Hospital CurrentSince Nov 3, 2018 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Jamaica Hospital CurrentSince Nov 3, 2018 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Feb 1, 2019 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 15, 2021 Accepting new patients
Gregory S. Dibelius, MD PLLC Facial Plastic Surgery PastSince Nov 3, 2024 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

17660 Union Tpke
Ste 115
Fresh Meadows, NY 11366
Phone (718) 206-8080

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: gdibelius85622@direct.medisys.org
  • Direct secure messaging: gdibelius67520@northwell.direct-ci.com
  • Direct secure messaging: gdibelius4580641@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1447559026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164",
            "telephone_number": "212-518-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164",
            "telephone_number": "212-518-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBELIUS",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "266579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.