Austin Taribo Dikibo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C07997 Issued in MD

Practice address

8116 Good Luck Rd Ste 305
Lanham, MD 20706-3508

Phone

(301) 552-1200

NPI assigned

Apr 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capitol Cardiology Associates, LLCGroup PAC ID 6002714649, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: adikibo913093@direct.umm.edu

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.

• Capitol Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Lanham, MD
  • NPI 1609855733

  DC

  Medicare reassignment Care Compare group

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

• Luminis Health Doctors Community Medical Center, Inc.

  • General Acute Care Hospital
  • Lanham, MD
  • NPI 1730136532

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1568091114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 305",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "301-552-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 305",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "301-552-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKIBO",
        "first_name": "AUSTIN",
        "middle_name": "TARIBO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joselyn Diaz Rodriguez
• Jesenia Diaz
• Isabella Difilippantonio
• Amber Diggs
• Amy Digioia
• Rebekah Dilks, PTA
• Donna Dillard
• Dimension Healthcare Services LLC
• Dimensions Healthcare System
• Darnell F Dinkins

• All providers in Lanham, MD
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.