Individual provider Active NPI

Robert Dibianco, M.D.

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1760444152
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0022846 Issued in MD
Practice address
15215 Shady Grove Rd
Suite 306
Rockville, MD 20850-3235
Phone
(301) 990-0040
Fax
(301) 990-0043
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0022846 MD Primary

Addresses

Primary practice location

15215 Shady Grove Rd
Suite 306
Rockville, MD 20850-3235

Mailing address

15225 Shady Grove Rd
Ste 201
Rockville, MD 20850-3278
Phone (301) 670-3000

Other identifiers 5

IdentifierTypeStateIssuer
H830OtherMDBCBS OF MD GROUP NUMBER
0004OtherDCBCBS OF DC INDIVIDUAL #
343221100MedicaidMD
4787OtherDCBCBS OF DC GROUP NUMBER
41279603OtherMDBCBS OF MD INDIVIDUAL #

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000048 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123177730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

15215 Shady Grove Rd
Suite 306
Rockville, MD 20850-0202
Phone (301) 990-0040

15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3278
Phone (301) 670-3000

19735 Germantown Rd
Suite 190
Germantown, MD 20874-1216
Phone (240) 449-1100

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0022846MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Associates, P.C. Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Sep 7, 2013 Accepting new patients
Adventist Healthcare, Inc. Cardiovascular Disease Past Accepting new patients
Adventist Physician Services (Wah) Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

15225 Shady Grove Rd
Ste 201
Rockville, MD 20850
Phone (301) 670-3000

15215 Shady Grove Rd
Ste 306
Rockville, MD 20850
Phone (301) 990-0040

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1760444152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "STE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503278",
            "telephone_number": "301-670-3000",
            "fax_number": "301-924-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 SHADY GROVE RD",
            "address_2": "SUITE 306",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503235",
            "telephone_number": "301-990-0040",
            "fax_number": "301-990-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBIANCO",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0022846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD GROUP NUMBER",
            "identifier": "H830",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC INDIVIDUAL #",
            "identifier": "0004",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343221100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC GROUP NUMBER",
            "identifier": "4787",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD INDIVIDUAL #",
            "identifier": "41279603",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.