Jean D Dib, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35076500D Issued in OH

Practice address

22792 Harrisburg Westville Rd
Alliance, OH 44601-9224

Phone

(330) 823-4000

Fax

(330) 829-2919

NPI assigned

May 23, 2005

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 OH

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

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

Premier Health Associates IncGroup PAC ID 5092708503, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
• Aultman Hospital Hospital, Canton, OH, CCN 360084

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jean.dib@phai.eclinicaldirectplus.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.

• Ohio Physician Professional Corporation

  • Hospitalist Physician
  • Canton, OH
  • NPI 1417016973

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Premier Health Associates Inc

  • Internal Medicine Physician
  • Alliance, OH
  • NPI 1790708741
  Medicare reassignment Care Compare group NPD
• Alliance Community Medical Foundation LLC

  • Exclusive Provider Organization
  • Alliance, OH
  • NPI 1699929562
  Medicare reassignment NPD
• Pha Specialty LLC

  • Pulmonary Disease Physician
  • Alliance, OH
  • NPI 1568198570
  NPD
• Premier Health Associates Inc

  • Internal Medicine Physician
  • Sebring, OH
  • NPI 1104847045
  NPD (past)

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

• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1477556686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22792 HARRISBURG WESTVILLE RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446019224",
            "telephone_number": "330-823-4000",
            "fax_number": "330-829-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22792 HARRISBURG WESTVILLE RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446019224",
            "telephone_number": "330-823-4000",
            "fax_number": "330-829-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIB",
        "first_name": "JEAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076500D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn M Dennis, CNP
• Claudio A Deperalta, MD
• Joseph Evan Devillier, MD
• Sanjeev Dewan, M.D.
• Gagandeep Kaur Dhaliwal, PA
• Lisa Marie Diehl
• Gary L Dier, MD
• Joseph Dietrich, D.M.D.
• Thomas S Dietrich, D.D.S.
• Jacalyn Marie Diezman, CRNA

• Internal Medicine Physician in Alliance, OH
• Providers in Alliance, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.