Active NPI
Delys V. Gribbin, PA
- Medical Physician Assistant
- Dilley, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA03945
- Practice address
- 111 E Miller St
Dilley, TX 78017-3912 - Phone
- (830) 965-1684
- Fax
- (830) 965-1278
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03945 | TX | Primary |
Addresses
Primary practice location
111 E Miller St
Dilley, TX 78017-3912
Mailing address
3022 Williams Dr
Ste 300
Fairfax, VA 22031-4600
Phone (703) 738-5737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N7150 | Other | TX | BCBS |
Other names 1
- Delys V. Rayside-Gribbin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040501000397 | TX | Practitioner - Physician Assistant | 1153319942 | Reassigns benefits to 1 organization |
| I20160915000672 | DC | Practitioner - Physician Assistant | 1153319942 | Reassigns benefits to 3 organizations |
| I20171113001835 | MD | Practitioner - Physician Assistant | 1153319942 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200
5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03945 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Hospital Center Corp | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| General Internal Medicine Group | Past | Accepting new patients | |
| Docdit Inc | Past | Accepting new patients | |
| Shore Hospitalists Associates P.a. | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Organizations & group practices 31
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.
-
- General Practice Physician
- Chevy Chase, MD
- NPI 1003284282
-
- General Practice Physician
- Baltimore, MD
- NPI 1043801061
-
- General Practice Physician
- Baltimore, MD
- NPI 1083247894
-
- General Practice Physician
- Woodbridge, VA
- NPI 1235537804
-
- General Practice Physician
- Washington, DC
- NPI 1265800791
-
- General Practice Physician
- Lorton, VA
- NPI 1336547900
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1497785778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 WILLIAMS DR",
"address_2": "STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314600",
"telephone_number": "703-738-5737",
"fax_number": "703-573-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E MILLER ST",
"city": "DILLEY",
"state": "TX",
"postal_code": "780173912",
"telephone_number": "830-965-1684",
"fax_number": "830-965-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIBBIN",
"first_name": "DELYS",
"middle_name": "V.",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N7150",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DELYS",
"last_name": "RAYSIDE-GRIBBIN",
"middle_name": "V.",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dilley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.