NPIMap

Individual provider Active NPI

Prameela Dibba, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Voorhees, NJ
National Provider Identifier
1730434598
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD467466 Issued in PA
Practice address
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone
(856) 247-3000
NPI assigned
Jul 18, 2012
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD467466 PA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA09446900 NJ

Addresses

Primary practice location

100 Bowman Dr
Voorhees, NJ 08043-9612

Mailing address

7131 Frankford Ave
Philadelphia, PA 19135-1008
Phone (215) 332-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217000919 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 0840511606 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

7600 Central Ave
Philadelphia, PA 19111-2499
Phone (215) 728-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Quality
65.57
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09446900NJMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Urgent Care Group PC CurrentSince Sep 16, 2020 Accepting new patients
Inhospital Physicians Corp CurrentSince Jan 13, 2023 Accepting new patients
Temple Physician Inc. CurrentSince May 22, 2021 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince May 22, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Geriatric Medicine CurrentSince May 22, 2021 Accepting new patients
Temple Physicians Inc CurrentSince May 22, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Physicians Inc Current Accepting new patients
Temple University Hospital, Inc Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients

Locations

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1730434598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351008",
            "telephone_number": "215-332-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOWMAN DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439612",
            "telephone_number": "856-247-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBA",
        "first_name": "PRAMEELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD467466",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA09446900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.