Jeremy Andrew Di Bari, MD
Individual provider Active NPI Family Medicine Physician · Warrensburg, NY
NPI 1700267697 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1700267697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 295127 (NY)
- Practice address
- 3767 Main Street
Warrensburg, NY 12885-1890 - Phone
- (518) 623-2844
- Fax
- (518) 623-3416
- NPI assigned
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glens Falls Hospital Inc
Hudson Headwaters Health Network
Practice addresses (Care Compare)
100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000
161 Carey Rd
Queensbury, NY 12804-7821
Phone (518) 824-8610
Hospital & facility affiliations
- Glens Falls Hospital
- The University of Vermont Health Network - Champl
- Albany Medical Center Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.88 of 100
- Quality
- 71.44
- Promoting interoperability
- 97.95
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180829002342 | NY | Practitioner - Family Practice | 2163772922 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295127 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glens Falls Hospital Inc | Current |
Accepting new patients | |
| Glens Falls Hospital Inc. | Family Medicine | Current |
Accepting new patients |
| Hudson Headwaters Health Network | Family Medicine | Current |
Accepting new patients |
| Hudson Headwaters Health Network | Family Medicine | Current |
Accepting new patients |
| Glens Falls Hospital Inc | Past | Accepting new patients |
Locations
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
79 North St
Granville, NY 12832
Phone (518) 642-0612
161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011
9 Carey Rd
Queensbury, NY 12804
3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844
Interoperability endpoints
- jeremy.dibari@cdirectglensfallshosp.org
- jdibari134345@albanymed.direct-ci.com
- jeremy.di.bari.1@1823.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 295127 | NY | Yes |
Addresses
Primary practice location
3767 Main Street
Warrensburg, NY 12885-1890
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other practice location 1
100 Park Street
Glens Falls, NY 12801-4413
Phone (518) 926-5925
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05242333 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jeremy.dibari@cdirectglensfallshosp.org | ||
| Direct Messaging Address | Jeremy.dibari@cdirectglensfallshosp.org |
NPI Registry JSON
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1700267697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CAREY RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128047880",
"telephone_number": "518-761-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3767 MAIN STREET",
"city": "WARRENSBURG",
"state": "NY",
"postal_code": "128851890",
"telephone_number": "518-623-2844",
"fax_number": "518-623-3416"
}
],
"practiceLocations": [
{
"address_1": "100 Park Street",
"address_purpose": "LOCATION",
"city": "Glens Falls",
"state": "NY",
"postal_code": "128014413",
"country_code": "US",
"telephone_number": "518-926-5925",
"fax_number": "518-926-5917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DI BARI",
"first_name": "JEREMY",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "295127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05242333",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jeremy.dibari@cdirectglensfallshosp.org",
"affiliation": "N",
"address_1": "100 Park Street",
"city": "Glens Falls",
"state": "NY",
"country_code": "US",
"postal_code": "128014413",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jeremy.dibari@cdirectglensfallshosp.org",
"affiliation": "N",
"address_1": "3767 Main Street",
"city": "Warrensburg",
"state": "NY",
"country_code": "US",
"postal_code": "128851890",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warrensburg, NY
- Carpenter Physical Therapy, PLLC
- Amanda Aileen Carpenter
- Daniel Ivan Chamberlain
- Timothy A Culliton
- Tia Dawson
- Joann Elizabeth Donohue
- Robert J French
- Andrew C Frenyea
- Janine N Gadjo
- Kevin Andrew Gallagher
All providers in Warrensburg, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. 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.
- 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.