Christopher Santo Dibello, M.D.
Individual provider Active NPI Pulmonary Disease Physician · New Smyrna Beach, FL
NPI 1487875977 · NPPES record last updated Oct 12, 2012
Key facts
- NPI
- 1487875977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- ME107805 (FL)
- Practice address
- 1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168-6201 - Phone
- (386) 423-0505
- Fax
- (386) 423-0515
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- State University of New York Downstate Medical Center, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PCCC of Volusia LLC
Practice addresses (Care Compare)
1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168-6201
Phone (386) 423-0505
Hospital & facility affiliations
- Trilogy Home Healthcare
- Adventhealth Deland
- Adventhealth New Smyrna Beach
- Adventhealth Daytona Beach
- Adventhealth Fish Memorial
- AdventHealth Palm Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventhealth Deland |
Hospital | Corporate Director | Dec 9, 2021 |
| Adventhealth Deland |
Hospital | Corporate Director | Dec 9, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000706 | FL | Practitioner - Pulmonary Disease |
3678616174 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107805 | FL | MD | Pulmonary Disease Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCCC of Volusia LLC | Pulmonary Disease | Current |
Accepting new patients |
| NDC of Volusia LLC | Past | Accepting new patients | |
| North Brevard Medical Support, Inc | Past | Accepting new patients |
Locations
575 N Clyde Morris Blvd
Ste B
Daytona Beach, FL 32114
Phone (386) 258-7322
638 W Plymouth Ave
Deland, FL 32720
Phone (386) 279-0006
1055 N Dixie Fwy
Ste 1
New Smyrna Beach, FL 32168
Phone (386) 423-0505
780 Dunlawton Ave
Ste 1
Port Orange, FL 32127
Phone (386) 222-6111
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71631
- christopher.dibello@pccc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME107805 | FL | Yes |
Addresses
Primary practice location
1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168-6201
Mailing address
1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168-6201
Phone (386) 423-0505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004272900 | Medicaid | FL |
Other providers in New Smyrna Beach, FL
- Antonio Decarli
- Richard Delaney
- Jennifer Dembowski
- Sherry Demian
- Potoula Diaz
- Andrew B Dill
- Veronica Dillon
- Stuart Doliner
- Christine Donovan
- Dina Doolin
All providers in New Smyrna Beach, FL · Pulmonary Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.