Individual provider Active NPI

Luis A. Dibos, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pensacola, FL
National Provider Identifier
1679577639
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME128360 Issued in FL
Practice address
5147 N 9TH Ave Ste 318
Pensacola, FL 32504-8710
Phone
(850) 416-2965
Fax
(850) 416-1833
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

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.

View all 31

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Ponce School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Physician Services Inc 144 clinicians

Practice addresses (Care Compare)

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000

Hospital & facility affiliations

  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049
  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, CO, SC, TN, WI, MT, VA8 enrollments
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.

Medicare enrollment records 8

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090213000178 MD Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 7618032269 Reassigns benefits to 1 organization
I20100603000069 DC Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 7618032269 Reassigns benefits to 1 organization
I20160428001832 CO Practitioner - Thoracic Surgery 7618032269 Reassigns benefits to 1 organization
I20231205000357 SC Practitioner - Thoracic Surgery 7618032269 Reassigns benefits to 1 organization
I20240201002572 TN Practitioner - Cardiac Surgery 7618032269 Reassigns benefits to 1 organization
I20240221002614 WI Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 7618032269 Reassigns benefits to 9 organizations
I20240802003831 MT Practitioner - Thoracic Surgery 7618032269 Reassigns benefits to 1 organization
I20241108003525 VA Practitioner - Thoracic Surgery 7618032269 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince Jul 19, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 13, 2024 Accepting new patients
Specialty Physician Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 12, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 13, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Feb 13, 2024 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Jul 19, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 13, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 13, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 1, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Mary Washington Healthcare Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 13, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 3, 2016 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 13, 2024 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Nov 17, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 13, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 13, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 13, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Nov 17, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Center for Vein Restoration MD LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Chesapeake Cardio-Thoracic Surgery Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Cardiac Surgery Associates, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations (25 of 27)

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

2900 12th Ave N
Ste 400E
Billings, MT 59101
Phone (406) 238-6650

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

7655 Poplar Ave
Ste 350
Memphis, TN 38138
Phone (901) 759-3447

1325 Eastmoreland Ave
Ste 365
Memphis, TN 38104
Phone (901) 272-6018

1101 Sam Perry Blvd
Ste 211
Fredericksburg, VA 22401
Phone (540) 372-7792

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

Interoperability endpoints

  • Direct secure messaging: luis.dibos.1@4692.direct.athenahealth.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: luis.dibos.1@9582.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME128360 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5147 N 9TH Ave Ste 318
Pensacola, FL 32504-8710

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
187171400MedicaidMD

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address luis.dibos.1@4692.direct.athenahealth.com
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2025.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1679577639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE STE 318",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048710",
            "telephone_number": "850-416-2965",
            "fax_number": "850-416-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBOS",
        "first_name": "LUIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME128360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187171400",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luis.dibos.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2380 Harbor Blvd",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339525024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N OAK AVE",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.